scholarly journals Information Systems and Healthcare XXX: Charting a Strategic Path for Health Information Technology

Author(s):  
Wullianallur Raghupathi ◽  
Joseph Tan
F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 904
Author(s):  
Aufia Espressivo ◽  
Herindita Puspitaningtyas ◽  
Susanna H. Hutajulu ◽  
Anis Fuad ◽  
Matthew J. Allsop

Background: Cancer and its management can incur high costs, high risks and high demand. In Indonesia, there remains gap in the availability of national cancer data despite the establishment of a National Committee for Cancer Control. Multiple pilot projects have been developed by the Ministry of Health to improve the delivery of care, including interventions utilising digital health approaches and integrated referral information systems. However, it is not yet clear to what extent these approaches influence patient management or the experience of cancer patients themselves. This research aims to explore the current role of health information technology (HIT) in the provision of services and treatments for patients with cancer from primary to tertiary healthcare centres in Yogyakarta, Indonesia. Methods: The study will adopt an observational mixed-methods single case study design of health facilities involved in the delivery of cancer services in a sub-national health system. We will collect data through face-to-face interviews with a range of health professionals involved in the delivery of cancer care. Patients will be interviewed to share their views and experiences of the existing cancer referral system and communication with health facilities. Alongside interviews, we will undertake an analysis of routine data from participating health facilities to assess gaps in existing information systems. Data analysis will include framework analysis for qualitative data alongside descriptive analyses of quantitative data. Findings will be used to inform conceptual maps to be presented as part of Theory of Change workshops focused on understanding how the existing cancer referral system works, why and for whom, with a focus on future refinement and intervention development.  Conclusion: Our findings will inform critical thinking around the design, implementation, adaptation, and evaluation of existing systems. Through early engagement and participation of key stakeholders and project partners, we intend that findings will have immediate utility.


2021 ◽  
Author(s):  
Tomas Hambili Paulo Sanjuluca ◽  
Ricardo Cruz-Correia ◽  
Anabela Antunes Almeida

Abstract Background COVID19 pandemic has shown the importance of data to manage health crises. Therefore, countries that were more mature regarding using Information Systems (IS) were better prepared to respond to their population needs. Unfortunately, in Angola, such Health Information Systems (HIS) maturity is very low, so new Health Information Technology (HIT) projects must change this scenario. Objective Describe the impact of COVID19 on a new health information technology project called "ObsCare Lubango" to collect essential data on deliveries and births at the Maternity Hospital in Lubango-Angola. Methods Retrieve data from the notes, communication events of the project management. Also, the collected data regarding obstetrics (pregnancies and childbirth) was from Jan 2019 to Apr 2021 (14 months before COVID19 and 14 months after the beginning of COVID19). The data analyzed were collected from the utilization audit trail that stores the sessions and clicks in the application logs. These logs are then presented in aggregated and anonymized form in a web interface. Results The start of COVID19 in Maternity halted the evolution of the health information project implementation. At the beginning of 2020, the usage of ObsCare Lubango was growing steadily (5.9%, 7.5%, 9.4% in the first three months), but rapidly dropped to 0% in the following months after the first of COVID arrived in late March. Conclusion COVID19 had a significant impact on the evolution of ObsCare Lubango and heavily impacted the quality of the data collected in the paper. COVID19 will probably increase the digital divide in health care between nations.


Author(s):  
Beste Kucukyazici ◽  
Karim Keshavjee ◽  
John Bosomworth ◽  
John Copen ◽  
James Lai

This chapter introduces a multi-level, multi-dimensional meta-framework for successful implementations of EHR in healthcare organizations. Existing implementation frameworks do not explain many features experienced and reported by implementers and have not helped to make health information technology implementation any more successful. To close this gap, we have developed an EHR implementation framework that integrates multiple conceptual frameworks in an overarching, yet pragmatic meta-framework to explain factors which lead to successful EHR implementation, in order to provide more quantitative insight into EHR implementations. Our meta-framework captures the dynamic nature of an EHR implementation through their function, interactivity with other factors and phases, and iterative nature.


Author(s):  
Karl E. Misulis ◽  
Mark E. Frisse

Evolution of healthcare systems and the constantly changing regulatory landscape continuously alter all facets of health information technology including access. Access to information systems must be controlled in order to protect privacy and confidentiality. Access systems must be flexible enough to be applicable regardless of device and location. While access must be secure, it cannot obstruct the efficient care of patients. Access controls depend on position because privileges and permissions depend on position. These controls are the method of enforcing authorization through mechanisms and policies. This chapter discusses some of the mechanisms of controlling access. Also discussed are some practical considerations for client and device strategy.


2013 ◽  
Vol 22 (01) ◽  
pp. 114-116
Author(s):  
M. Cuggia ◽  
L. Toubiana

Summary Objectives: Summarize excellent current research in the field of Health Information Systems. Method: Synopsis of the articles selected for the IMIA Yearbook 2013. Results: Five papers from international peer reviewed journals have been selected for the section on health information systems. Conclusions: The selected articles illustrate current research regarding health information technology (IT) impacts and evaluation and the latest developments in health information exchange.


2014 ◽  
Vol 20 (3) ◽  
Author(s):  
Jiban Khuntia ◽  
Jahangir Karimi ◽  
Mohan Tanniru ◽  
Arlen Meyers

This article describes the initiative and actions related to establishing a Digital Health Consortium (DHC) at the University of Colorado Denver. The consortium is a part of the Center for Information Technology Innovation (CITI) in the Business School.  The objective is to augment existing information systems program offerings in health information technology with the support of industry affiliates and other partners of the university.  The CITI-DHC is an industry-academia led initiative with a mission to accelerate digital health transformation through education, research, and service. We illustrate the vision and plan for the consortium, that will be fulfilled with academic and industry stakeholders, and who will be engaged with the platform to support digital health care innovations through collaborations.  


2011 ◽  
pp. 994-1013
Author(s):  
Beste Kucukyazici ◽  
Karim Keshavjee ◽  
John Bosomworth ◽  
John Copen ◽  
James Lai

This chapter introduces a multi-level, multi-dimensional meta-framework for successful implementations of EHR in healthcare organizations. Existing implementation frameworks do not explain many features experienced and reported by implementers and have not helped to make health information technology implementation any more successful. To close this gap, we have developed an EHR implementation framework that integrates multiple conceptual frameworks in an overarching, yet pragmatic meta-framework to explain factors which lead to successful EHR implementation, in order to provide more quantitative insight into EHR implementations. Our meta-framework captures the dynamic nature of an EHR implementation through their function, interactivity with other factors and phases, and iterative nature.


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