IT Architectures and Implementations in Healthcare Environments
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ItemTargeting Perioperative Performance Aligned to Hospital Strategy via Digital Transformation( 2020-01-07)This study examines the digital transformation of a U.S. hospital’s perioperative process, which yields targeted performance alignment to strategy. Based on a 184-month longitudinal study of a large 1,157 registered-bed academic medical center, the observed effects are viewed through a lens of information technology (IT) impact on core capabilities and core strategy. The results offer a framework that supports patient-centric improvement and targets alignment of perioperative sub-process efforts to overall hospital strategy. This research identifies existing limitations, potential capabilities, and subsequent contextual understanding to minimize perioperative process complexity, target and measure improvement, and ultimately yield process management and hospital strategy alignment. Dynamic activities of analysis, evaluation, and synthesis applied to specific perioperative patient-centric data, collected within integrated hospital information systems, provide the organizational resource for management and control. Conclusions include theoretical and practical implications as well as study limitations.
ItemPutting Interoperability on Health-information-systems’ Implementation Agenda( 2020-01-07)The increasing demand of past patient medical information at the point of care, creates new data sharing and exchange demands on health information systems (HIS). However, a number of existing HIS have data exchange challenges given that they are ordinarily designed as vertical silos without interoperability obligations. Yet, to have data exchange within HIS and across health facilities, participating systems ought to be interoperable. However, interoperability is usually not considered a key design requirement during HIS implementations. Therefore, relying on exceptional existing practices to create benchmark design knowledge, the author employs a sense making perspective to analyze how HIS implementers arrive at their interoperability design requirements. Through this approach, an initial set of interoperability design prerequisites for purposively designing HIS’ interoperability is proposed. These include: knowing who, knowing what, knowing how and knowing which. A further study implication is the use of a sense-making perspective in exploring system design requirements.
ItemThe Care2Report System: Automated Medical Reporting as an Integrated Solution to Reduce Administrative Burden in Healthcare( 2020-01-07)Documenting patient medical information in the electronic medical record is a time-consuming task at the expense of direct patient care. We propose an integrated solution to automate the process of medical reporting. This vision is enabled through the integration of speech and action recognition technology with semantic interpretation based on knowledge graphs. This paper presents our dialogue summarization pipeline that transforms speech into a medical report via transcription and formal representation. We discuss the functional and technical architecture of our Care2Report system along with an initial system evaluation with data of real consultation sessions.