Integrating ERD and UML Concepts When Teaching Data Modeling

In this paper, we describe a teaching approach that evolved from our experience teaching in both the traditional database and systems analysis classes as well as a number of semesters spent team-teaching an object-oriented systems development course. Fundamentally, we argue that existing knowledge of structured systems development can and should inform our teaching processes when teaching object-oriented systems development techniques. We draw from an anecdotal industry example provided by one of our former students to illustrate the value of this approach given our perception that there is a need in practice today to easily shift from structured to object-oriented thinking

Power and Information Technology: A Review Using Metatriangulation

This study uses a metatriangulation theory building process to explore the relationships between power and information technology (IT) in a sample of 43 articles from 10 leading management and MIS journals. We explore the multiple paradigms underlying this research, describe patterns emerging from the previous power and IT studies, and recommend future directions for investigation

Use of a health information exchange system in the emergency care of children

<p>Abstract</p> <p>Background</p> <p>Children may benefit greatly in terms of safety and care coordination from the information sharing promised by health information exchange (HIE). While information exchange capability is a required feature of the certified electronic health record, we known little regarding how this technology is used in general and for pediatric patients specifically.</p> <p>Methods</p> <p>Using data from an operational HIE effort in central Texas, we examined the factors associated with actual system usage. The clinical and demographic characteristics of pediatric ED encounters (n = 179,445) were linked to the HIE system user logs. Based on the patterns of HIE system screens accessed by users, we classified each encounter as: no system usage, basic system usage, or novel system usage. Using crossed random effects logistic regression, we modeled the factors associated with basic and novel system usage.</p> <p>Results</p> <p>Users accessed the system for 8.7% of encounters. Increasing patient comorbidity was associated with a 5% higher odds of basic usage and 15% higher odds for novel usage. The odds of basic system usage were lower in the face of time constraints and for patients who had not been to that location in the previous 12 months.</p> <p>Conclusions</p> <p>HIE systems may be a source to fulfill users' information needs about complex patients. However, time constraints may be a barrier to usage. In addition, results suggest HIE is more likely to be useful to pediatric patients visiting ED repeatedly. This study helps fill an existing gap in the study of technological applications in the care of children and improves knowledge about how HIE systems are utilized.</p

What should we measure? Conceptualizing usage in health information exchange

Under the provisions of the Health Information Technology for Economic & Clinical Health act providers need to demonstrate their ‘meaningful use’ of electronic health record systems' health information exchange (HIE) capability. HIE usage is not a simple construct, but the choice of its measurement must attend to the users, context, and objectives of the system being examined. This review examined how usage is reported in the existing literature and also what conceptualizations of usage might best reflect the nature and objectives of HIE. While existing literature on HIE usage included a diverse set of measures, most were theoretically weak, did not attend to the interplay of measure, level of analysis and architectural strategy, and did not reflect how HIE usage affected the actual process of care. Attention to these issues will provide greater insight into the effects of previously inaccessible information on medical decision-making and the process of care

Review: Power And Information Technology Research: A Metatriangulation Review

This study uses a metatriangulation approach to explore the relationships between power and information technology impacts, development or deployment, and management or use in a sample of 82 articles from 12 management and MIS journals published between 1980 and 1999. We explore the multiple paradigms underlying this research by applying two sets of lenses to examine the major findings from our sample. The technological imperative, organizational imperative, and emergent perspectives (Markus and Robey 1988) are used as one set of lenses to better understand researchers\u27 views regarding the causal structure between IT and organizational power. A second set of lenses, which includes the rational, pluralist, interpretive, and radical perspectives (Bradshaw-Camball and Murray 1991), is used to focus on researchers\u27 views of the role of power and different IT outcomes. We apply each lens separately to describe patterns emerging from the previous power and IT studies. In addition, we discuss the similarities and differences that occur when the two sets of lenses are simultaneously applied. We draw from this discussion to develop metaconjectures, (i.e., propositions that can be interpreted from multiple perspectives), and to suggest guidelines for studying power in future research

Effective Practices For It Skills Staffing

Various ways to identify, hire and keep prized IT professionals with the skills companies which need to complete in uncertain technological and business times, are studied. The IT staffing delimma involves two main issues which include whom to recruit and how to ensure the IT staff has critical skills. It has been observed that the IT staffing cycle helps to identify the four IT employment approaches which include slack resources, and deligations. The study shows that companies limiting themselves to reacting to market changes and skills requirements inevitably generate costly responses