scholarly journals Improving Digital Hospital Transformation: Development of an Outcomes-Based Infrastructure Maturity Assessment Framework (Preprint)

2018 ◽  
Author(s):  
Patricia AH Williams ◽  
Brendan Lovelock ◽  
Tony Cabarrus ◽  
Marlon Harvey

BACKGROUND Digital transformation in health care is being driven by the need to improve quality, reduce costs, and enhance the patient experience of health care delivery. It does this through both the direct intervention of technology to create new diagnostic and treatment opportunities and also through the improved use of information to create more engaging and efficient care processes. OBJECTIVE In a modern digital hospital, improved clinical and business processes are often driven through enhancing the information flows that support them. To understand an organization’s ability to transform their information flows requires a clear understanding of the capabilities of an organization’s information technology infrastructure. To date, hospital facilities have been challenged by the absence of uniform ways of describing this infrastructure that would enable them to benchmark where they are and create a vision of where they would like to be. While there is an industry assessment measure for electronic medical record (EMR) adoption using the Healthcare Information and Management Systems Society Analytics EMR Adoption Model, there is no equivalent for assessing the infrastructure and associated technology capabilities for digital hospitals. Our aim is to fill this gap, as hospital administrators and clinicians need to know how and why to invest in information infrastructure to support health information technology that benefits patient safety and care. METHODS Based on an operational framework for the Capability Maturity Model, devised specifically for health care, we applied information use characteristics to define eight information systems maturity levels and associated technology infrastructure capabilities. These levels are mapped to user experiences to create a linkage between technology infrastructure and experience outcomes. Subsequently, specific technology capabilities are deconstructed to identify the technology features required to meet each maturity level. RESULTS The resulting assessment framework clearly defines 164 individual capabilities across the five technology domains and eight maturity levels for hospital infrastructure. These level-dependent capabilities characterize the ability of the hospital’s information infrastructure to support the business of digital hospitals including clinical and administrative requirements. Further, it allows the addition of a scoring calculation for each capability, domain, and the overall infrastructure, and it identifies critical requirements to meet each of the maturity levels. CONCLUSIONS This new Infrastructure Maturity Assessment framework will allow digital hospitals to assess the maturity of their infrastructure in terms of their digital transformation aligning to business outcomes and supporting the desired level of clinical and operational competency. It provides the ability to establish an international benchmark of hospital infrastructure performance, while identifying weaknesses in current infrastructure capability. Further, it provides a business case justification through increased functionality and a roadmap for subsequent digital transformation while moving from one maturity level to the next. As such, this framework will encourage and guide information-driven, digital transformation in health care.

2011 ◽  
pp. 143-154
Author(s):  
Joseph Cruz ◽  
Daniel Lévano

Las empresas, a nivel global, tienden a una mayor dependencia de las Tecnologías de la Información (TI), no solo para el mantenimiento operativo de las instancias de la organización, sino también para el aumento de valor a la empresa por medio de la explotación de datos y sobre todo bajo el análisis y optimización de sus procesos. La metodología Business Process Management (BPM), al combinarlas con las buenas prácticas propuestas por Information Technology  Infrastructure Library (ITIL), permite la posibilidad de aumentar el valor de la entidad por medio de la mejora y adaptación de los procesos desde una perspectiva más ágil, automatizada y robusta con la capacidad de adaptación al cambio, permitiendo a las organizaciones orientar sus procesos al cliente.


2008 ◽  
Vol 36 (4) ◽  
pp. 709-715 ◽  
Author(s):  
Melissa M. Goldstein ◽  
David Blumenthal

Information technology is considered a potentially transformative element in the field of health care by payers, providers, vendors, and consumers alike. Because of this transformative potential, health information technology (HIT) adoption is viewed by many as a key component of health system reform. HIT is in its earliest stages, with diffusion of the technology still relatively limited; at the same time, there is growing awareness of its potential to affect the operation of the entire health care system as a result of the vast amount of information that will become available to both health professionals and patients.


2021 ◽  
Vol 9 (1) ◽  
pp. 77
Author(s):  
Resad Setyadi ◽  
Enggar Priyatiningsih

In the industrialized world, information technology has become an essential component that everyone can feel and use. However, IT's proper use can provide opportunities for increased productivity and effective and efficient company processes. The quality of the service supplied is related to managing the problems faced and handling its day-to-day service operations. The purpose of this research is to analyze the IT service management (ITSM) of the National Electricity Company (NEC) in Purwokerto with media analysis using the Information Technology Infrastructure Library (ITIL) v3 framework. The method used is a quantitative method with observation, distribution of questionnaires, and data analysis as a follow-up. Maturity level analysis becomes the target of assessment to become a reference for providing recommendations for the performance of ITSM. The results of the maturity level show that NEC Purwokerto is at the optimal level. The advice given is that NEC Purwokerto maintains IT services' performance so that the NEC Purwokerto company's business strategy continues to run well and improve


Author(s):  
Ahu Genis-Gruber

E-commerce has been a widely used mean to purchase goods and services all over the world. This study investigates the role of cultural differences and information technology infrastructure on usage of e-commerce in developed and developing countries. As shown in Genis-Gruber and Tas (2007) cultural differences are expected to play a major role on e-commerce behavior especially in developing economies. In order to identify cultural differences, we use Hofstede’s classification. We classify the countries according to these indices and their technological and economic development. We make several cultural comparisons among various countries and we empirically investigate whether these cultural differences play a significant role on e-commerce behavior. We implement OLS and fixed effect regression methods. Using dummy variables and interaction variables, we estimate the effect of cultural differences on e-commerce purchases and other e-commerce variables. Besides the effects of cultural factors, we also investigate the effects of information infrastructure and education level of the countries. We conclude that cultural dimensions play an incremental role on e-commerce and relationship between infrastructure and e-commerce. We control for several other factors like information infrastructure and education level, and use different econometric techniques to achieve our results.


2020 ◽  
Vol 9 (1) ◽  
pp. 1-8
Author(s):  
Dwi Mardiana ◽  
Widya Cholil

Penelitian ini bertujuan untuk mengetahui sejauh mana pengelolaan manajemen layanan telah mencapai Tingkat Kematangan (Maturity Level) dalam mendukung kualitas layanan TI terhadap kinerja dan pencapaian organisasi. Analisis dilakukan dengan menggunakan Framework Information Technology Infrastructure Library (ITIL) V3. Fokus pada penelitian Subdomain yang digunakan yaitu Event Management (EM), Incident Management (IM), Request Fullfilment (RF), Access Management (AM) dan Information Security Management (ISM). Hasil penelitian ini didapatkan tingkat kematangan manajemen layanan teknologi informasi berada pada level 4 yaitu Managed. Kemudian disusun rekomendasi perbaikan yang digunakan untuk meningkatkan tingkat kematangan yang diharapkan dalam mencapai manajemen layanan yang baik sehingga tujuan organisasi tercapai.


2019 ◽  
Vol 7 (1) ◽  
pp. 10-16
Author(s):  
Anwar Fattah

Corporate governance of information technology (it Governance) has been widely implemented by institutions in the various Colleges of the world. Information technology (it Governance) plays an important role in supporting the achievement of the mission, vision, objectives such Colleges in adapting new technology changes, innovation and environmental change in minimizing the risks and address the vulnerabilities Information technology security. To enhance the role of TI against the continuity of the process of college work, then it takes a measurement of it governance (IT Governance). TESCA is a Framework the governance of information technology as a standard framework in information technology on an utilization of an institution/organisisi. And is used to control the it governance.TESCA is in drawing up the instrument and assess the maturity level of the utilization of information technology on campus. The initiative sponsored by the PT. Telkom Tbk and Economic News. This Insturmen as material guidelines and guidance in conducting an evaluation or assessment of the implementation of IT in college. The goal of the research is to Implement IT Governance/corporate governance of information technology on information systems at the University of balikpapan and its information technology infrastructure that supports the information system, to make it more maximize teaching and learning through the system, determine the level of maturity (maturity level) in information systems and information technology infrastructure that supports information systems at the University of Balikpapan and Make a recommendation of the management of it in accordance with the business strategy and objectives of the University of Balikpapan. The results of the research that based on the results Obtained in just my Assesment that the University entrance 49.004 value of Kerosene into the category of Associate Level (SCORE 40.00-use of 59.99). where the existence of the IT management recommendations that can serve as the IT management considerations how should the management of IT to support the performance of information systems


2013 ◽  
Author(s):  
Joseph Cruz ◽  
Daniel Lévano

Las empresas, a nivel global, tienden a una mayor dependencia de las Tecnologías de la Información (TI), no solo para el mantenimiento operativo de las instancias de la organización, sino también para el aumento de valor a la empresa por medio de la explotación de datos y sobre todo bajo el análisis y optimización de sus procesos. La metodología Business Process Management (BPM), al combinarlas con las buenas prácticas propuestas por Information Technology  Infrastructure Library (ITIL), permite la posibilidad de aumentar el valor de la entidad por medio de la mejora y adaptación de los procesos desde una perspectiva más ágil, automatizada y robusta con la capacidad de adaptación al cambio, permitiendo a las organizaciones orientar sus procesos al cliente.


2012 ◽  
Vol 14 (2) ◽  
pp. 65-72 ◽  
Author(s):  
Au Vo ◽  
Rahul Bhaskar

True Health Care Organization (THC) was a national leading health care organization. Its CEO and the management team were concerned with the implications of multiple laws, aimed at improving health care in the United States, passed that impacted the health care insurance industry including the THC Company. The CEO and the management felt that the company faced many challenges as it looked for solutions to the requirements of the new laws. Their industry was going through an unprecedented change due to the new laws and a general consensus that health care should be improved. They had concluded that the solution to the new challenges faced by their company laid in implementing the new Information Technology systems. The CEO and management were acutely aware that it was not easy to implement these changes by implementing Information Technology systems. The challenges that they were concerned about included skillsets of their work force, the disjointed nature of their current information technology infrastructure and the urgency of implementing all the changes within a short period.


Sign in / Sign up

Export Citation Format

Share Document