IT Adoption, Diffusion and Evaluation in Healthcare

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    Facing Business-IT-Alignment in Healthcare
    ( 2018-01-03) Krey, Mike
    The ongoing reform efforts and an aftermath of increasing regulation in the Swiss healthcare sector make it imperative for hospitals to develop strategies to work more efficiently and have better control over their medical, nursing, and administrative processes. These endeavors make hospitals to enhance and integrate concepts of Business-IT-Alignment and IT Governance, IT Risk management, and IT Compliance (IT GRC). This paper proposes a novel method for the management of IT with respect to closely-meshed organizational and social structures within hospitals. One key contribution of this method is its hybrid approach to combine collective know-how of the CObIT 5 framework with an iterative process model approach. The application of this method under real-world conditions within different Swiss hospitals has led to a positive outcome whereby all hospitals concurred that the method allows for the adoption of IT GRC principles while taking into consideration the individual styles and patterns of behavior.
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    Drones: Application and Business Models in Swiss Hospitals
    ( 2018-01-03) Krey, Mike
    The drone age has arrived and autonomous flying is being applied in several areas. Accordingly, the question arises in which industries this technology can make a difference. This paper examines the use of drones in Swiss hospitals. First, a literature review was conducted followed by interviews with selected hospitals. The literature research revealed that academic research on drone use in healthcare is limited. This paper contributes to the literature by showing in which areas of Swiss hospitals drones can be implemented to create cost saving as well as process optimization possibilities in order to manage increasing cost pressure and technological progress. Our study is summarized in two papers one of which is this current paper, which aims to outline the possible areas of drone use while the second paper examines the implementation of this impressive technology in these detected areas.
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    Medical Technology Investment Decision-Making at U.S. Hospitals: A Comparative Case Study of Four Organizations
    ( 2018-01-03) Wernz, Christian ; Zhang, Hui
    Investments in expensive medical technologies, ranging from computed tomography (CT) scanners to proton beam accelerators, consume a major share of hospitals’ capital budgets. The demand by physicians, patients and other stakeholders for medical technologies often exceeds a hospital’s financial resources. When allocating their tight budgets, hospitals also need to account for multiple organizational objectives. The objective of this paper is to analyze current practices in medical technology investment decision-making at U.S. hospitals. Through semi-structured interviews of administrators at four hospital organizations, we obtained information on their medical technology investment decision approach. Findings from our interviews confirm that a systematic decision process that considers all organizational objectives, analyzes and integrates comprehensive data, and is objective and consistent is rarely applied. We propose that hospital organizations develop and implement such systematic processes and do so by building upon decision analysis principles and approaches, such as the Simple Multi-Attribute Rating Technique (SMART).
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    The emergence of digitalisation in the context of health care
    ( 2018-01-03) Mihailescu, Marius ; Mihailescu, Daniela
    Digitisation of medical records by means of Electronic Patient Record (EPR) systems promises to improve the overall quality of health care. However, studies show that the outcome of their use is mixed. Derived from a critical realism lens the morphogenetic approach is used to understand and explain how does digitalisation emerge in health care settings. We draw on a longitudinal case study of a hospital that implemented an EPR system. Interviews and observations were used as data collection techniques. The initial analysis identified three tentative generative mechanisms: data-sharing, process-streamlining, and connectivity mechanisms which help to describe and explain the emergence of digitalisation in health care context. By using the morphogenetic approach, two grains are seen to accrue: the critical role of digital materiality in organisational change and clarity about the interplay between the materiality of technology (an emergent property of structure) and agential reflexivity (an emergent property of agency).
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    Clinician's Perceptions and Expectations on a mHealth Platform for Supporting Patient Data Integration and Clinical Service Delivery: A Case Study in Evidence-Based Communication Rehabilitation
    ( 2018-01-03) Wang, Erhhsuan ; Zhou, Leming ; Parmanto, Bambang ; Watzlaf, Valerie ; Abdelhak, Mervat
    Improving the quality of healthcare services while simultaneously reducing the overall cost remains a huge challenge. One recommended approach for achieving this goal is to build high quality data collection and reporting systems to facilitate evidence-based practice (EBP), which emphasizes the importance of using the solid evidence available to make optimal clinical decisions. In this project, we conducted interviews and a survey with clinicians to understand their perceptions and expectations on such data collection and reporting systems. Based on the obtained results, we created an integrated platform using mobile and web technologies for Augmentative and Alternative Communication (AAC) intervention. A usability study was conducted to evaluate the integrated platform and compared the platform to other existing data collection and reporting approaches. The study results indicated that our platform provides a better approach for supporting data collection, integration, and reporting, as well as streamlining the workflow of AAC clinical service delivery.