The Critical Role of Hospital Information Systems in Digital Health Innovation Projects

The critical role of emergency departments (EDs) as the first point of contact for ill and injured patients has presented significant challenges for the elicitation of detailed process models. Patient complexity has limited the ability of ED information systems (EDIS) in prediction of patient treatment and patient movement. This article formulates a novel approach to building EDIS Activity Views that paves the way for EDIS that can predict patient workflow. The resulting Activity View pertains to what is being done, rather than what experts think is being done. The approach is based on analysis of data that is routinely recorded during patient treatment. The practical significance of the proposed approach is clinically acceptable, verifiable, and statistically valid process-oriented clusters of ED activities that can be used for targeted process elicitation, thus informing the design of EDIS. Its theoretical significance is in providing the new middle ground between existing soft and computational process elicitation methods.

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Towards Process-of-Care Aware Emergency Department Information Systems

Health Information Systems ◽

10.4018/978-1-60566-988-5.ch122 ◽

2011 ◽

pp. 1916-1929

Author(s):

Andrzej S. Ceglowski ◽

Leonid Churilov

Keyword(s):

Information Systems ◽

Critical Role ◽

Process Models ◽

Practical Significance ◽

Patient Treatment ◽

Process Of Care ◽

Novel Approach ◽

Patient Complexity ◽

Injured Patients

The critical role of emergency departments (EDs) as the first point of contact for ill and injured patients has presented significant challenges for the elicitation of detailed process models. Patient complexity has limited the ability of ED information systems (EDIS) in prediction of patient treatment and patient movement. This article formulates a novel approach to building EDIS Activity Views that paves the way for EDIS that can predict patient workflow. The resulting Activity View pertains to “what is being done,” rather than “what experts think is being done.” The approach is based on analysis of data that is routinely recorded during patient treatment. The practical significance of the proposed approach is clinically acceptable, verifiable, and statistically valid process-oriented clusters of ED activities that can be used for targeted process elicitation, thus informing the design of EDIS. Its theoretical significance is in providing the new “middle ground” between existing “soft” and “computational” process elicitation methods.

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Critical Role of Supply Chain Decoupling Point in Mass Customisation from Its Upstream and Downstream Information Systems Point of View

Mass Customization Information Systems in Business ◽

10.4018/978-1-59904-039-4.ch009 ◽

2011 ◽

pp. 185-196

Author(s):

S. Saghiri

Keyword(s):

Supply Chain ◽

Information Systems ◽

Critical Role ◽

Point Of View ◽

Information Flows ◽

Mass Customisation ◽

Different Types ◽

Type Information ◽

Different Levels

Concentrating on the role of supply chain decoupling point, this chapter introduces different levels of customisation and mass operations and three types of mass customisation. It argues that in each mass customisation type, information systems which are upstream and downstream of the decoupling point can be varied. Consequently, information flows in different types of mass customisation have been examined. This analysis is an endeavour to organise mass customisation information systems across the supply chain, while it can be a useful structure for future researches in this area as well.

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Identifying and Overcoming Policy-Level Barriers to the Implementation of Digital Health Innovation: Qualitative Study

Journal of Medical Internet Research ◽

10.2196/14994 ◽

2019 ◽

Vol 21 (12) ◽

pp. e14994 ◽

Cited By ~ 3

Author(s):

Laura Desveaux ◽

Charlene Soobiah ◽

R Sacha Bhatia ◽

James Shaw

Keyword(s):

Health System ◽

Driving Forces ◽

Digital Health ◽

Critical Role ◽

Qualitative Description ◽

System Level ◽

Health Innovation ◽

Innovation Activities ◽

Challenges And Opportunities ◽

The Government

Background High-level policy barriers impede widespread adoption for even the most well-positioned innovations. Most of the work in this field assumes rather than analyzes the driving forces of health innovation. Objective: The aim of this study was to explore the challenges and opportunities experienced by health system stakeholders in the implementation of digital health innovation in Ontario. Objective The aim of this study was to explore the challenges and opportunities experienced by health system stakeholders in the implementation of digital health innovation in Ontario. Methods We completed semistructured interviews with 10 members of senior leadership across key organizations that are engaged in health care–related digital health activities. Data were analyzed using qualitative description. Results A total of 6 key policy priorities emerged, including the need for (1) a system-level definition of innovation, (2) a clear overarching mission, and (3) clearly defined organizational roles. Operationally, there is a need to (4) standardize processes, (5) shift the emphasis to change management, and (6) align funding structures. Conclusions These findings emphasize the critical role of the government in developing a vision and creating the foundation upon which innovation activities will be modeled.

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