Knowledge Management in Health Care: An Architectural Framework for Clinical Process Management Systems

Author(s):  
R. Curia ◽  
L. Gallucci ◽  
M. Ruffolo
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Prathamesh Churi ◽  
Ambika Vishal Pawar ◽  
Amir A. Abdulmuhsin

Purpose Focusing on the Indian context, with the increase in the amount of data and its analysis in health-care knowledge management (KM), the privacy concerns rise which results in loss of trust of an individual in e-health-care systems. Privacy issues in health care, specific to India, are caused by prevalent complacency, culture, politics, budget limitations, large population and infrastructures. Because of these factors, data security requires a backseat that allows easy access to confidential information. Furthermore, the prevalent culture affects health-care disclosure in India. In many cultures, disclosing sensitive personal health-care data is considered ill mannered. This leads to discrepancies in the recorded health-care data and a decrease in the level of treatment meted out. The results and statistics of treatments given do not match the records because of inaccurate data reporting. With the significant rise in the analysis and use of technology in health-care KM systems, it is important to understand the perception of KM in terms of its use and awareness about data sharing in the KM system. The purpose of the paper is to measure the perception of privacy issues in the context of Indian healthcare management systems. Design/methodology/approach To measure the perception of the use of the KM system, a set of 20 questions was circulated with a sample size of 337 which includes health-care researchers, doctors, practitioners and patients. The questions focused upon the use, share the sensitive health data in the KM platform. All the demographic information such as age, sex, religion, occupation is recorded. The privacy of the individual is maintained while circulating the questionnaire. The usage of health KM system and its privacy is measured through means and t-test. Findings The results of the t-test were found positive. This research study finds that the privacy factor is important among the Indians to share the information with the KM repository. It is also found that medical practitioners or data custodians are not much serious about sensitive data is being stored for analysis. From the statistical perception of usage of KM and its privacy, new architecture and privacy guidelines were suggested which can be considered in future research. Research limitations/implications From the literature review, the questionnaire has developed which can help policymakers and hospital administrators collect information about KM processes in health-care organizations, and this can result in higher performance of health organizations. The privacy factor can also be included in typical health KM architecture ensure that while knowledge acquisition process, privacy of individual or organization can be maintained. Social implications KM enhances the value of corporations and business industries through knowledge production, distribution and provides reliable access to the knowledge resources. KM in health care can comprise a confluence of formal methodologies and techniques to facilitate the creation, identification, acquisition, development, preservation, dissemination and finally the utilization of the various facets of a health-care enterprise’s knowledge assets. According to IBM Global executive report in the year 2012, the entire health-care system has changed from diseases-centric to patient-centric. India is emerging in terms of revenue and employment in the health-care field. The advances of information and communication technology help the health-care sector streamline for data structure and access and health analytics. Originality/value In India, the KM is frequently used in health-care industries majorly by health-care practitioners and professionals. As health-care data and knowledge are considered to be sensitive, the privacy of an individual while using the data cannot be compromised. The proposed empirical work will provide a solution in determining the main barriers of implementing privacy policies that need to be solved first and to ensure effective implementation of KM in the health care of India.


2004 ◽  
Vol 43 (05) ◽  
pp. 525-535 ◽  
Author(s):  
M. Stefanelli

Summary Objective: Medical knowledge management and care process management have become to be considered as valuable strategic assets that can lead to sustained increase in Health Care Organization (HCO) performance. Thus, it is essential to investigate which are the enablers for promoting knowledge-based organizations (people, organization, process, and system perspectives). Although they are essential for a HCO to manage knowledge effectively, it is still unclear how to employ them in more principled fashion. This requires innovative management strategies to determine effective ways of utilizing knowledge resources and capabilities available both within and outside the organization. Method: This paper reviews knowledge and process management theories, methods, and technologies that are potentially effective in building high performance HCOs. They come from a variety of fields behind computer science and medical informatics, e.g. from business and organization sciences to psychological and cognitive sciences, from epistemology to sociology. However, the success in developing future Health Information Systems (HIS) requires their incorporation into a new conceptual framework after recognizing how peculiar are the characteristics of HCOs with respect to other organizations. Investigating the nature of knowledge, in general, and of medical knowledge, in particular, is essential to define which services the future HIS should provide to foster collaboration between patients and health professionals. The knowledge creation process is then described in order to emphasize its dynamic and social characteristics. The potential of workflow technology for building innovative HISs is analyzed together with several basic research issues which are very challenging for researchers in the field. Result: A framework for augmenting the conceptual analysis of theories, methods, tools and effects of knowledge management in building high performance HCOs.


Author(s):  
Elske Ammenwerth ◽  
Werner O. Hackl

Clinical processes need to be well understood before a new health IT tool can be introduced. Observations, interviews, surveys, or documentation analysis are carried out to systematically collect information to better understand a clinical process. To aggregate and visualize the collected information about a clinical process, use case diagrams can build a basis. Formal process models such as process chain diagrams or BPMN diagrams are well suited to model the process in detail. The objective of this chapter is to discuss these methods for analyzing and modeling clinical processes, as this is an important precondition for systematic process management in health care.


2018 ◽  
Vol 14 (2) ◽  
pp. 77-89
Author(s):  
Muhammad Abdul Basit Memon

Management and sharing of knowledge has been among the top most strategic priorities of the organizations, due to its generally acknowledged role toward the improvement of organizational performance, accomplishment of organizational goals and achievement of competitive advantage. However, most of the organizations, despite spending huge budgets on the implementation of quality knowledge management systems, fail to enjoy the benefits of knowledge sharing due a number of individual organizational and technological barriers that impede the successful sharing of knowledge. Hence, it seems extremely important to understand the factors that impede the knowledge sharing and foil the successful implementation of knowledge management systems. This study has been conducted to empirically investigate the individual barriers to knowledge sharing. Based on 75 qualitative interviews within three health-care organizations of the capital of Pakistan, this research has identified unwillingness to share, lack of motivation, time deficiency, absence of trust, cultural dissimilarity and lack of a common language as some of the most significant individual barriers to knowledge sharing. This study has not only identified the barriers, but, also the remedies to knowledge sharing in the light of the recommendations from the interviewees.


Author(s):  
Tsekhmister Yaroslav Volodymyrovych ◽  
Goncharuk Nataliya Petrivna ◽  
Datsiuk Nataliia Olehivna ◽  
Tsekhmister Bogdan Yaroslavovych ◽  
Lysenko Oleksandra Yuriyivna

Aim: Pharmaceutical healthcare is a process comprising knowledge-intensive tasks. Therefore the tools used in the management of knowledge are gaining more attention. This paper aims to investigate knowledge management systems, their implementation, tools used for decision making. Method: We have used three databases to research the knowledge management system in the pharmaceutical healthcare sector. PubMed, Google Scholar and journal websites were used for the search of the required key terms. Result: After analyzing the data, it was found that the effective utilization of knowledge management systems in the pharmaceutical health care sector has increased the quality of care. There are many opportunities; some create new advances in health care, and some even create barriers. All these help in clinical decision support. Conclusion: Right decision at the right time is made by evidence-based decisions in the healthcare sector. A knowledge management system is paramount in the pharmaceutical healthcare sector. Implementation of appropriate tools will significantly enhance the quality of care.


MIS Quarterly ◽  
2013 ◽  
Vol 37 (1) ◽  
pp. 299-313 ◽  
Author(s):  
Yinglei Wang ◽  
◽  
Darren B. Meister ◽  
Peter H. Gray ◽  
◽  
...  

Sign in / Sign up

Export Citation Format

Share Document