Patient-Centric Decision-Making Health Information System (PDM-HIS) Adoption Framework

Hospital Information Systems (HIS) are implemented to support the provision of high-quality patient- centered care. Yet, there is little evidence about how to achieve meaningful involvement of patients in the decision-making process for the adoption of HIS. Furthermore, there is little known whether particular HIS adoption decision-making frameworks in which patients are involved are employed in hospitals. To address this gap, we conducted a study allowing us to gain insight on how to practically and meaningfully involve patients in this process. A synthesis of literature and case studies have indicated that there is no single, optimal approaches of involving the patients in the adoption decision-making process. In this article, we present evidence from 15 semi-structured patient interviews to understand the phenomenon of involving patients in the decision-making for the adoption of HIS. Extending the DECIDE model, we consider the key HIS adoption factors found in the literature and interviews and present a Patient-Centric Decision-Making HIS (PDM-HIS) framework. The key contribution of this research is twofold. First, we extend the DECIDE model within a HIS context and explain the importance of adopting a patient-centric approach to HIS adoption. Secondly, we offer hospitals guidance about how to involve patients and in which specific activities of the adoption decision-making they can be involved. These research recommendations will form the basis of a future study

Untangling the complexity of connected health evaluations

Societal changes are forcing us to reconsider how healthcare is delivered and ICT can support this reimagining of healthcare delivery. One of the emerging trends in this area is Connected Health. However, the evaluation of Connected Health technologies is crucial to assess whether their implementation has had a positive impact on healthcare delivery. To support this assessment process, we developed, an exploratory framework for the evaluation of Connected Health technologies in healthcare settings. This framework was developed after having critically appraised the existing findings of health information system evaluation studies. It also builds on previous models of Information Systems evaluation, in particular, the Information Systems Success Model. Our framework incorporates the concept of assessment from multiple perspectives. Furthermore, the framework identifies the primary stakeholders and extends the assessment based on their concerns. Finally, we elaborate on the framework, detailing its application to a Connected Health solution for primary care based dementia patients in Ireland

An Agile Process Model for Product Derivation in Software Product Line Engineering

Software Product Lines (SPL) and Agile practices have emerged as new paradigms for developing software. Both approaches share common goals; such as improving productivity, reducing time to market, decreasing development costs and increasing customer satisfaction. These common goals provide the motivation for this research. We believe that integrating Agile practices into SPL can bring a balance between agility and formalism. However, there has been little research on such integration. We have been researching the potential of integrating Agile approaches in one of the key SPL process areas, product derivation. In this paper we present an outline of our Agile process model for product derivation that was developed through industry based case study research

An Agile V-Model for Medical Device Software Development to Overcome the Challenges with Plan Driven SDLCs

Through the use of semi structured interviews with medical device software organizations it emerged that medical device software organizations are experiencing difficulties when following plan driven Software Development Life Cycles (SDLC), particularly in the area of requirements management. To attempt to resolve these issues an examination of the non-regulated industry was performed to determine if lessons learned there could be applied to the development of medical device software. This examination revealed that agile methods are being widely adopted in the non-regulated software industry. To learn if agile methods could be adopted when developing medical device software a mapping study was performed which looked for instances of where agile methods have been used in regulated industries and where they have been adopted, to what success. This mapping study revealed that incorporating agile practices with the existing plan driven SDLC is the most favourable choice for medical device software organizations. This research aims to develop a SDLC which has a foundation of a plan driven SDLC which incorporates agile practices which can be followed when developing regulatory compliant software

Pathways, technology and the patient—connected health through the lifecycle

Connected Health solutions are ubiquitous in providing patient centered care and in responding to a new paradigm of care pathways where Health Information Technology is being introduced. This paper defines Connected Health, and, in particular, describes standards and regulations which are important to the implementation of safe, effective and secure Connected Health solutions. This paper provides: a holistic view of Connected Health; provides a standards and regulations based view of the lifecycle of the Health IT system; and identifies the relevant roles and responsibilities at the various stages of the lifecycle for both manufacturers of connected health solution and healthcare delivery organization solutions. We discuss how the implementation of standards and regulations, while implementing and using Health IT infrastructure, requires close collaboration and ongoing communication between Healthcare Delivery Organizations and Accountable Manufacturers throughout the lifecycle of the health IT system. Furthermore, bringing technology into the healthcare system requires a robust and comprehensive approach to Clinical Change Management to support the business and clinical changes that the implementation of such solutions requires. Ultimately, to implement safe, effective, and secure Connected Health solutions in the healthcare ecosystem, it requires that all those involved work together so that the main requirement—patient-centered care—is realized

Usability Recommendations for Designers of Smartphone Applications for Older Adults: An Empirical Study

Older adults (OAs) are a growing and dominant part of the global population, with specific communication and usability needs. Information technology, such as smartphone applications, has the potential to help OAs stay connected, yet some designs do not appeal to this group of users. Current recommendations for the design of usable smartphone applications for OAs can be hard to apply and difficult to interpret. As a result, designers of smartphone applications do not have a clear set of recommendations for the design of smartphones for OAs. In this paper we elicit and transform usability trends and difficulties experienced directly by tech-savvy1 OA users, into an organised set of recommendations. To do this we conducted an empirical study in four stages: (1) Data extraction. Digital context is extracted through conducting Think Aloud sessions with tech-savvy OAs (aged 50+); (2) Data mapping. Digital content extractions are mapped against 7 key aspects of usability; (3) Validation. Validated mappings through inter-rater reliability testing; (4) Presentation. Presented resultant recommendations as design patterns. Applying this method resulted in a set of 131 Usability recommendations with some overlap, transformed into a set of 14 design patterns that can act as a starting point for designers and developers of smartphone applications for OAs, and for pedagogy. Three of these patterns are presented in this study