Case Study I

Author(s):  
Matthew Guah

The National Programme for Information Technology is the largest civil IT program worldwide at an estimated cost of £6.2 bn, US$ 10 billion, over a ten-year period. Launched in 2002, it provides an opportunity for the IT service industry to develop business models in the UK healthcare sector in which, historically, has seen low investment in IT services. Despite highly publicised large-scale IT outsourcing contracts, many IT vendors have been unable to fulfil the rigid terms and conditions of their contracts. The chapter provides current additional evidence to that found in the literature on emerging technologies in the health sector. It aims to investigate some of the issues that are associated with the implementation of the emerging technologies in the NHS and explores whether the implementation of the National Program, by the NHSIA, would bring value to patient care, and influence staff perception of IS.

2020 ◽  
Vol 26 (9) ◽  
pp. 220-226
Author(s):  
Sunny Deo

Background/Aims The quality of information technology (IT) services is key to effective healthcare delivery. However, the high aspirations of health ministers for IT services in hospitals may not be aligned with clinicians' perceptions. This study aimed to assess frontline clinicians' perceptions of the quality of IT services in their institutions. Methods The British Orthopaedics Directors Society online forum was used to invite a group of trauma and orthopaedic clinical leads from a range of hospitals to complete a short questionnaire regarding their perceptions of IT service quality in their practice. Results Negative perceptions of IT service quality were found to be common, with 45% of respondents rating their trusts' overall IT quality as poor or very poor. Of these, 13% deemed their trust's IT service quality to be so poor as to put patients at increased risk. Wide disparities were also reported between respondents' ratings of IT infrastructure quality and institutional responsiveness to concerns. Conclusions This small initial evaluation highlights concerning variations in clinicians' perceptions of IT service quality across different trusts. It also suggests the need for further, more detailed assessment and monitoring of IT quality improvement, for which the same questionnaire method may be useful.


2019 ◽  
Vol 135 ◽  
pp. 04039
Author(s):  
Vera Krasavina

Relevance. Today, in the context of global digitalization, the world IT services market is developing at quite a rapid pace and remains one of the fastest growing segments of the IT industry. Researchers of this market in their works describe direct dependence between globalization of IT services market and development of national economic systems. Thus, today it is most important to determine the key trends in the development of IT services world market. In this paper, the most important trends of the most significant segments of IT service market are determined and described, such as: IT consulting, system integration, custom software development, IT outsourcing, IT support, and IT education and training. Understanding and following the current trends contributes not only to the development of existing opportunities for companies’ growth, but also to the emergence of new ones, due to which the companies will not only retain, but also increase their competitive advantages on the global market. Goal. To identify and analyze the most important current trends in the global IT service market development, which contribute not only to the reformation of the market itself, but also to change in the relationship of its constituent elements. To systemize the latest trends in the global IT service market and evaluate them in terms of their impact on the economic development of the countries. Methodology. The methodology of system analysis, methods of structural, logical and comparative analysis are used in this paper. Results. The key trends in the development of the main segments of the modern IT service market have been determined and described. Among them, cloud computing technologies, cybersecurity and innovative business models are particularly important. Conclusions. It is obvious that the identified trends in the development of the global IT services market are critical to the effective performance of each enterprise both in terms of understanding, forming a business strategy, timely implementation of innovative business models, following the latest trends, and in terms of building up their competitive advantages in extremely difficult conditions on the global market.


Author(s):  
Yang Xia ◽  
Dabo Guan ◽  
Albert E. Steenge ◽  
Erik Dietzenbacher ◽  
Jing Meng ◽  
...  

In this paper we focus on the ‘Christmas’ flood in York (UK), 2015. The case is special in the sense that little infrastructure was lost or damaged, while a single industry (IT services) was completely knocked out for a limited time. Due to these characteristics, the standard modelling techniques are no longer appropriate. An alternative option is provided by the Hypothetical Extraction Method, or HEM. However, there are restrictions in using the HEM, one being that no realistic substitutes exist for inputs from industries that were affected. In this paper we discuss these restrictions and show that the HEM performs well in the York flood case. In the empirical part of this paper we show that a three-day shutdown of the IT services caused a £3.24 m to £4.23 m loss in York, which is equivalent to 10% of the three days' average GVA (Gross Value Added) of York city. The services sector (excluding IT services) sustained the greatest loss at £0.80 m, where the business support industry which was predominantly hit. This study is the first to apply a HEM in this type of flood on a daily basis.


2022 ◽  
pp. 125-148
Author(s):  
George Leal Jamil ◽  
Arthur Henrique Oliveira Melo ◽  
Guilherme Jamil Rodrigues ◽  
Liliane Carvalho Jamil ◽  
Augusto Alves Pinho Vieira

The appeal for new business models is at high level nowadays in all market sectors involving all economic agents. Dealing with classical, non-responsive, bureaucratic structures, traditional organizational arrangements impose delays on management, ineffective control features, and, more critical, limitations to innovate. In this chapter, the authors analyze the proposition for new business models with the consideration of two huge pressuring motivations: to innovate in the healthcare sector and adopt emerging technologies. Both dimensions brought opportune facts for business models development and application, but, with an immense and uncontrolled dynamicity, also produced a confused, turbulent scenario where the academic and scientific knowledge, always demanded, was not developed and communicated efficiently. To address this imperfect scenario, the authors present their reflections around perspectives on building and applying business models supported by emerging technologies for the healthcare sector, offering a background to foster these discussions in further studies and decision-making contexts.


2013 ◽  
Vol 22 (04) ◽  
pp. 1341002 ◽  
Author(s):  
BIKRAM SENGUPTA ◽  
ANSHU JAIN ◽  
KAMAL BHATTACHARYA ◽  
HONG-LINH TRUONG ◽  
SCHAHRAM DUSTDAR

Service process orchestration using workflow technologies has led to significant improvements in generating predicable outcomes by automating tedious manual tasks but suffer from challenges related to the flexibility required in work especially when humans are involved. Recently emerging trends in enterprises to explore social computing concepts have realized value in more agile work process orchestrations but tend to be less predictable with respect to outcomes. In this paper, we use IT services management, specifically, incident management for large scale systems, to investigate the interplay of workflow systems and social computing. We apply a recently introduced concept of social compute units (SCU), and flexible teams sourced based on various parameters such as skills, availability, incident urgency, etc. in the context of resolution of incidents in an IT service provider organization. Results from simulation-based experiments indicate that the combination of SCUs and workflow based processes can lead to significant improvement in key service delivery outcomes, with average resolution time per incident and number of SLO violations being at times as low as 53.7% and 38.1%, respectively of the corresponding values for pure workflow based incident management. Moreover, significant benefits may also be obtained through cross-skilling of practitioners via exposure to new skills in the context of collaborative work.


2013 ◽  
Vol 3 (7) ◽  
pp. 1-19
Author(s):  
Roma Chauhan ◽  
Amit Kumar

Subject area Innovation, information technology, e-marketing and sales, strategy and entrepreneurship. Study level/applicability The case is intended for use in advanced graduate and executive education level management and technical programs of study. The case is high inter-disciplinary appropriate for all courses dealing in use of innovation, information technology, entrepreneurship, marketing and sales and strategy. Case overview Practo Technologies Pvt Ltd is a company established in 2008 by entrepreneurs Shashank, N.D. along with Abhinav Lal. At Practo Technologies engineers practice to create technology that supports healthcare industry. In India, there is not enough assistance given to the patients in terms of searching for appropriate doctors and fixing an appointment with them easily. The patient's data lie scattered in reports and the patient's medical history goes unrecorded. Practo provides a robust platform for doctors and patients to collaborate together under one umbrella. It provides patients with open basket of doctor profiles and special search based on doctor's specialty. The case showcases the journey of transformation healthcare sector in India has gone through. The change was resisted, it never came that easy! The case explores issues in implementing information technology for clinics and hospitals in India. This case illustrates interesting facts Indian healthcare and the preparation they need to equip with to manage global technology tide. Expected learning outcomes The case can be used for teaching service innovation. Managing innovative practices and low-cost online business models is illustrated. In particular, it deals with how the early start up employs innovation to set up new working ideas. The case is designed to stimulate discussions of broad array of issues regarding deployment of IT services specifically in the hospitals and clinics across India. Evaluate the advantages and liabilities of expanding globally at a very early start up stage. The case focuses on Practo early development with only concept in hand and transforming it into a profit generating business. Evaluate the advantages and challenges of innovation, technology development, deployment and training of manpower to use it. The case offers students opportunity to understand and take view of strategically building early start up and management of concerns with no prior experience. To identify business opportunities and explore various possibilities of expansion into IT healthcare business. The students are given base to explore sales and marketing strategies for online model. The students get overview of cutting edge business offerings and surviving the dynamic competition in the era of globalization. Supplementary materials Teaching notes are available for educators only. Please contact your library to gain login details or email [email protected] to request teaching notes.


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael N. Nkwenti ◽  
Ishan Sudeera Abeywardena

Over the last 10 years, the state of sexual and reproductive health in Cameroon has been challenging with rising levels of sexually transmitted diseases, the high fertility rate, and high infant and maternal mortality rates. Some researchers attributed these challenges to the limited number and quality of sexual and reproductive health personnel working in health facilities across the country. The North West Region of Cameroon was taken as a unit of study to probe into the skills gap among sexual and reproductive health practitioners. A total of n = 302 participants at a confidence interval of 95 per cent were selected using a stratified random sampling technique to take part in the study. The results indicated that a good number of them have no prior experience in the field of sexual and reproductive health. On the other hand, most of the practitioners’ skills level is situated between intermediate and competent with very few of them being at the expert skills level. It was therefore recommended that most of the participants needs improvement in (i) computer or information technology skills; (ii) research skills; and (iii) leadership development of the specialty. These areas need to be dealt with, as a matter of priority, through training and professional development to enable these professionals to deliver better service in the sexual and reproductive healthcare sector. It was also recommended that, in line with the critical role that sexual and reproductive health practitioners play in Cameroon’s health system, the Ministry of Public Health and other role players in the health sector make sufficient investments in the improvement of the health workforce’s accessibility to information and communication technology.


2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.


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