scholarly journals Successful Implementation of Clinical Information Technology

2015 ◽  
Vol 06 (04) ◽  
pp. 698-715 ◽  
Author(s):  
V. Hill ◽  
K. Bruner ◽  
G. Maciaz ◽  
L. Saucedo ◽  
L. Catzoela ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Informatics ◽  
Information Technologies ◽  
Success Factors ◽  
De Novo ◽  
Clinical Information ◽  
Lessons Learned ◽  
Successful Implementation ◽  
Allied Health Professionals ◽  
Clinical Information Technology

SummaryObjectives: To identify and describe the most critical strategic and operational contributors to the successful implementation of clinical information technologies, as deployed within a moderate sized system of U.S. community hospitals.Background and Setting: CHRISTUS Health is a multi-state system comprised of more than 350 services and 60 hospitals with over 9 000 physicians. The Santa Rosa region of CHRISTUS Health, located in greater San Antonio, Texas is comprised of three adult community hospital facilities and one Children’s hospital each with bed capacities of 142–180. Computerized Patient Order Entry (CPOE) was first implemented in 2012 within a complex market environment. The Santa Rosa region has 2 417 credentialed physicians and 263 mid-level allied health professionals.Methods: This report focuses on the seven most valuable strategies deployed by the Health Informatics team in a large four hospital CHRISTUS region to achieve strong CPOE adoption and critical success lessons learned. The findings are placed within the context of the literature describing best practices in health information technology implementation.Results: While the elements described involved discrete de novo process generation to support implementation and operations, collectively they represent the creation of a new customer-centric service culture in our Health Informatics team, which has served as a foundation for ensuring strong clinical information technology adoption beyond CPOE.Conclusion: The seven success factors described are not limited in their value to and impact on CPOE adoption, but generalize to – and can advance success in – varied other clinical information technology implementations across diverse hospitals. A number of these factors are supported by reports in the literature of other institutions’ successful implementations of CPOE and other clinical information technologies, and while not prescriptive to other settings, may be adapted to yield value elsewhere.

scholarly journals The Limitations of Using the Existing TAM in Adoption of Clinical Decision Support System in Hospitals

2014 ◽  
Vol 3 (2) ◽  
pp. 56-68 ◽  
Author(s):  
Pouyan Emaeilzadeh ◽  
Murali Sambasivan ◽  
Hossein Nezakati
Keyword(s):  
Information Technology ◽  
Decision Support ◽  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Clinical Decision Support ◽  
Clinical Information ◽  
Clinical Decision ◽  
Successful Implementation ◽  
Clinical Information Technology ◽  
Acceptance Model

The technology acceptance model (TAM) has been widely used to study user acceptance of new computer technologies. Previous studies claimed that future technology acceptance research should explore other additional explanatory variables, which may affect the originally proposed constructs of the TAM. The use of information technology in the health care sector and especially in hospitals offers great potential for improving the performance of physicians, increasing the quality of services and also reducing the organizational expenses. However, the main challenge that arises according to the literature is whether healthcare professionals are willing to adopt and use clinical information technology while performing their tasks. Although adoption of various information technologies has been studied using the technology acceptance model (TAM), the study of technology acceptance for professional groups (such as physicians) has been limited. Physician adoption of clinical information technology is important for its successful implementation. Therefore, the purpose of this study is to gain a better insight about factors affecting physicians’ acceptance of clinical decision support systems (CDSS) in a hospital setting. The results reflect the importance of perceived threat to professional autonomy, perceived interactivity with clinical IT, perceived usefulness and perceived ease of use in determining physicians’ intention to use CDSS.

Critical Success Factors of IS Implementation

2015 ◽  
Vol 3 (8) ◽  
pp. 192-212
Author(s):  
Iqbal Saad Al Saleh
Keyword(s):  
Information Technology ◽  
Critical Success Factors ◽  
Success Factors ◽  
Vital Role ◽  
Successful Implementation ◽  
Technological Factors ◽  
Is Implementation ◽  
Critical Success ◽  
Quality Of Products

Recently, the use of information technology has become important and critical, for organizations, as it enhance the quality of products and integrity of organizational services. However, the implementation of such systems is still problematic. Due to globalization and the variation in the monetary, social and technological environments, Information Systems (IS) have turned out to be an imperative feature and high priority for different kind of organizations. In this regard, critical success factors play a vital role in successful implementation of IS. This paper evaluates and analyzes the critical success factors (CSFs) of IS implementation from the Saudi managers’ perspective in different industries in Saudi Arabia. This study will also present the illustration or identification of 19 critical success factors, which are based on a review of literatures and the first phase of a study in Saudi industries. The study will also rank those 19 factors in a logical way and will characterize them into three categories of factors, including organisational, human and technological factors.

Clinical Information Technology Capabilities in Four U.S. Hospitals

Medical Care ◽  
2006 ◽  
Vol 44 (3) ◽  
pp. 216-224 ◽  
Author(s):  
Ruben Amarasingham ◽  
Marie Diener-West ◽  
Michael Weiner ◽  
Harold Lehmann ◽  
Jerome E. Herbers ◽  
...  
Keyword(s):  
Information Technology ◽  
Clinical Information ◽  
Clinical Information Technology

scholarly journals A call for social informatics

2020 ◽  
Vol 27 (11) ◽  
pp. 1798-1801 ◽  
Author(s):  
Matthew S Pantell ◽  
Julia Adler-Milstein ◽  
Michael D Wang ◽  
Aric A Prather ◽  
Nancy E Adler ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Social Factors ◽  
Health Informatics ◽  
Information Technologies ◽  
Clinical Settings ◽  
Ethical Challenges ◽  
Social Informatics ◽  
Data Interoperability

Abstract As evidence of the associations between social factors and health outcomes continues to mount, capturing and acting on social determinants of health (SDOH) in clinical settings has never been more relevant. Many professional medical organizations have endorsed screening for SDOH, and the U.S. Office of the National Coordinator for Health Information Technology has recommended increased capacity of health information technology to integrate and support use of SDOH data in clinical settings. As these efforts begin their translation to practice, a new subfield of health informatics is emerging, focused on the application of information technologies to capture and apply social data in conjunction with health data to advance individual and population health. Developing this dedicated subfield of informatics—which we term social informatics—is important to drive research that informs how to approach the unique data, interoperability, execution, and ethical challenges involved in integrating social and medical care.

scholarly journals DEVELOPMENT OF CONTROL SYSTEM FOR PROGRESS OF CONSTRUCTION AND INSTALLATION WORKS BASED ON INTEGRATED APPLICATION OF Primavera P6 Professional R8.3.2 AND ArchiCAD 17.0.0 SOFTWARE PRODUCTS

2017 ◽  
Vol 16 (6) ◽  
pp. 466-474
Author(s):  
V. P. Grakhov ◽  
Yu. G. Kislyakova ◽  
U. F. Simakova ◽  
D. A. Mushakov
Keyword(s):  
Information Technology ◽  
Information Technologies ◽  
Integrated Management ◽  
Management Systems ◽  
Successful Implementation ◽  
Technological Support ◽  
Technology Application ◽  
Software Products ◽  
Quality Costs ◽  
Construction Organizations

The paper considers application and development of information technologies while carrying out project management in construction. Organizational and technological support of works throughout its life cycle exerts an influence on quality and efficiency of successful implementation of the construction project. In order to achieve the project goal it is necessary perfectly to organize and plan works, distribute roles and responsibilities of the project participants, regulate composition and content of the project documentation. While analyzing technical and economic indices of construction organization activity and management systems operating in these organizations, conclusion has been made that market experience in functioning of operational management systems has not been adequately applied in practice of domestic construction organizations. Thus, introduction of integrated management systems for quality, costs, time parameters pertaining to project construction, their resource support will contribute to improvement of economic situation of construction organizations. The solution consists in application of up-to-date information technologies, maximum implementation of computer systems and programs in the sphere of production, creation of application software. It has been shown that it is necessary to develop a software model that provides a possibility comprehensively to apply information technology tools for monitoring progress of construction and installation works, systematization of information technology application that allow to control key parameters of construction and installation works, improvement of system for providing actual information in project implementation process. An example of complex application of software products Primavera P6 Professional R8.3.2 and ArchiCAD 17.0.0 is given in the paper.

scholarly journals Application of Expanded Technology Acceptance Model for Enhancing the HRIS Usage in SMEs

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Serkan Bayraktaroglu ◽  
Vasfi Kahya ◽  
Erhan Atay ◽  
Habibe Ilhan
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
User Satisfaction ◽  
Technology Use ◽  
Information Technologies ◽  
Success Factors ◽  
Successful Implementation ◽  
Use Of Technology ◽  
Acceptance Model ◽  
New Applications

Rapid developments and change have culminated new applications of information technologies. This trend is reflected in the plethora of innovative studies. Literature indicates that small- to medium-sized enterprises (SMEs) perceive human resources information systems (HRIS) as complicated and time consuming, resulting in resistance from both users and employees. The purpose of this article is to identify necessary acceptance conditions for a successful implementation of the HRIS software within SMEs in Turkey. SMEs compose 99% of all companies in Turkey. Fierce rivalry within sectors gives rise to increased technology use to gain a competitive advantage. This study contributes to an efficient implementation of widely used HRIS in SMEs and offers solutions for implementation failures, including user resistance and idle system problems. This study attempts to apply the technology acceptance model to 112 SMEs that implement HRIS exclusively with all the submodules. This research analyzes success factors for an effective HRIS implementation by testing the latest integrated model of expanded technology acceptance. It concludes that there is a positive and robust correlation between acceptance and use of technology variables and user satisfaction. The results of this study are useful not only for the managers but also for the manufacturers, technical support, online support, and aftersales services as they are advised to develop strategies for user satisfaction.

scholarly journals HIPAA, HIPAA, Hooray?: Current Challenges and Initiatives in Health Informatics in the United States

2008 ◽  
Vol 1 ◽  
pp. BII.S2007 ◽  
Author(s):  
Sanjaya Joshi
Keyword(s):  
United States ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Informatics ◽  
Information Technologies ◽  
The United States ◽  
Security And Privacy ◽  
Complex Data ◽  
Data Interoperability

A review of the current challenges, trends and initiatives around the various regulations as related to Health Informatics in the United States is presented. A summary of the functions in a workflow-based approach organized into the process and compliance for HIPAA, secure email and fax communications interfaces, e-prescriptions and patient safety and the health information technology savings claims versus costs follows: • HIPAA compliance is complex; data interoperability and integration remains difficult. • Email and faxing is possible with current over-the-shelf technologies within the purview of the HIPAA Security and Privacy rule. • Integration of e-prescribing and NPI data is an area where health informatics can make a real difference. • Medical errors remain high. • There are no real savings yet from the usage of health information technologies; the costs for implementation remain high, and the business model has not evolved to meet the needs. • Health Information Technology (Health IT) projects continue to have a significant failure rate; Open Source technologies are a viable alternative both for cost reduction and scalability. A discussion on the macro view of health informatics is also presented within the context of healthcare models and a comparison of the U.S. system against other countries.

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