Management Information Systems Commons^™

Enterprise Architecture In Healthcare Networks: A Systematic Literature Review, Arjen Maris, Stijn Hoppenbrouwers, Jos Van Hillegersberg

Communications of the IIMA

Healthcare organizations collaborate, share knowledge, and need to be accountable to each other. Therefore, healthcare organizations manage a dynamic information system landscape. Enterprise Architecture (EA) is a management tool for aligning these landscapes to the primary information needs that healthcare organizations have. EA is of value in some environments, but it seems to be not well suited to the dynamics of healthcare. Despite the publication of several systematic literature reviews on EA in healthcare, a systematic literature study comparing EA applicability at various levels of cooperation (intra, inter, and network collaboration) is lacking. Therefore, we posed the following research question: …

Towards A Domain – Specific Comparative Analysis Of Data Mining Tools, May Oo, Daniel Lozovikas, Ramesh Subramanian

Communications of the IIMA

Advancement in technology has brought in widespread adoption and utilization of data mining tools. Successful implementation of data mining requires a careful assessment of the various data mining tools. Although several works have compared data mining tools based on usability, opensource, integrated data mining tools for statistical analysis, big/small scale, and data visualization, none of them has suggested the tools for various industry-sectors. This paper attempts to provide a comparative study of various data mining tools based on popularity and usage among various industry-sectors such as business, education, and healthcare. The factors used in the comparison are performance and scalability, …

A Systematic Literature Review Of Ransomware Attacks In Healthcare, Jasler Klien Adlaon

Electronic Theses, Projects, and Dissertations

This culminating experience project conducted a Systematic Literature Review of ransomware in the healthcare industry. Due to COVID-19, there has been an increase in ransomware attacks that took healthcare by surprise. Although ransomware is a common attack, the current healthcare infrastructure and security mechanisms could not suppress these attacks. This project identifies peer-viewed literature to answer these research questions: “What current ransomware attacks are used in healthcare systems? “What ransomware attacks are likely to appear in the future?” and “What solutions or methods have been used to prepare, prevent, and recover from these attacks?” The purpose of this research is …

Impact Of Emr/Ehr And Computer Decision Support Systems On Nursing Homes And Long-Term Care, Wendy Trzyna, Brian Cox, Alberto Coustasse

Management Faculty Research

Long-Term Care (LTCs) facilities and nursing homes have been an essential part of the healthcare industry to meet the needs of older adults. However, Electronic Medical Records (EMRs/ EHR within LTC facilities and nursing homes have lagged more than in other healthcare sectors. This research analyzed the impact of implementing EMR/EHR and Computerized Decision Support Systems within LTC facilities and nursing homes. In nursing homes and LTC facilities where EMR/EHR has been implemented, patient outcomes improved by reduced pressure ulcers and increased identification of patients at risk for malnutrition and falls. Integration of CDSSs with EMR/EHR improved documentation and prescribing …

Effects Of Internet Exclusion On The City Of Detroit, Alexander G. Haddad

Honors College Theses

Introduction

The rise of Information Technology (IT) in the past 50 years has revolutionized many areas of human life and activity. Information Technology’s most obvious areas of impact are often those where they add a great and obvious value to a particular industry, and it is extremely difficult to find some aspect of life that has not changed since its inception. Some examples include the digitization of stock trading, the automation of factories and life-saving operations, and the enhanced communication and collaboration across public education, enterprise activity, and international affairs. However, what is often overlooked and understudied are the secondary …

Strategic Management Accounting Information And Performance: Mediating Effect Of Knowledge Management, Ruhanita Maelah, Baha'a Aldeen Hussein Mohamed, Amizawati Mohd Amir

The South East Asian Journal of Management

Research Aims: The objective of this study is to examine the relationship ‎between Strategic Management Accounting (SMA) information, Knowledge Management (KM), and the performance of ‎Malaysian hospitals.

Design/methodology/approach: A survey is employed, and data is collected using self- administered questionnaires. Responses from 95 Malaysian private hospitals were ‎analysed using Partial Least Squares (PLS) 3.0.

Research Findings: The findings indicate that SMA ‎information positively affects ‎performance, and KM mediates the ‎relationship between SMA information and interpretation.

Theoretical Contribution/Originality: This study utilised the Resource-Based View (RBV) theory to explain SMA information as a resource and KM as a capability that impacts the …

Design And Exploration Of New Models For Security And Privacy-Sensitive Collaboration Systems, Ramandeep Kaur Sandhu

Theses and Dissertations

Collaboration has been an area of interest in many domains including education, research, healthcare supply chain, Internet of things, and music etc. It enhances problem solving through expertise sharing, ideas sharing, learning and resource sharing, and improved decision making.

To address the limitations in the existing literature, this dissertation presents a design science artifact and a conceptual model for collaborative environment. The first artifact is a blockchain based collaborative information exchange system that utilizes blockchain technology and semi-automated ontology mappings to enable secure and interoperable health information exchange among different health care institutions. The conceptual model proposed in this dissertation …

A Critical Realist Evaluation Of A Hospital Laboratory It-Enabled Transformation, Sampath Bemgal

Electronic Thesis and Dissertation Repository

Organizations embarking on information technology (IT)-enabled transformation still face struggles with their execution which offers an opportunity to develop better evidence. Substantial opportunity exists to explore how exactly a transformation as a process evolves over time and how organizational structures (mainly social and technological) interact with human agency to cause successful transformation. Focusing on generative mechanisms—the underlying causal powers driving such transformation process—this research performs an in-depth case study of a hospital laboratory unit involved in IT-driven transformation efforts. Using critical realism philosophy and Archer’s (1995) morphogenesis as a complementary perspective, this study conceptualizes the process of IT-enabled organizational transformation …

A Framework For Accessing Patient Big Data: Ant View Of A South African Health Facility, Sibulela Mgudlwa, Tiko Iyamu

The African Journal of Information Systems

This study was undertaken to develop a framework that can be used to guide analysis when translating and transforming big data into a more purposeful resource for healthcare service delivery in South Africa. It is intended to assist in addressing some of the challenges encountered by healthcare facilities. Qualitative data were collected, with a focus on the types of interactions that happen between actors when accessing and using patients’ big data for healthcare services. Actor-network theory (ANT) was applied as a lens in the analysis of the data, to examine the relationships between actors when accessing and using big data …

Conflict Resolution In A Multi-Level It-Enabled Outsourcing Network: A Structured Solution Approach, Shreekant Vijaykar, Mahesh Gupta Prof., Pradip Kumar Bhaumik Dr.

Journal of International Technology and Information Management

Using the case study of an Indian Technology and Outsourcing Service Provider, SmartKey (real but renamed company), a technology vendor to a global healthcare provider, this paper analyses offshore outsourcing issues using IT-enabled services to gain deeper insights needed to understand the core conflict and propose a well-reasoned solution approach. Reasoning, the conscious thought process leading to a well-justified decision, is an important managerial skill required for making dynamic decisions, resolving conflicts, and thereby developing human resources. This paper explores Goldratt’s Evaporating Clouds (ECs) as a systematic approach to reasoning in particular, and as a system for developing human resource …

Rest Homes: Their Value On Massachusetts Healthcare Continuum, Ronald Pawelski

School of Professional Studies

In Massachusetts, rest homes provide cost effective care for elderly residents in a community setting. Rest homes, however, are not well-understood and the rest home industry itself suffers greatly, not only from a lack of understanding of the services they provide, but also from the strain on their financial resources due to both competition from other healthcare options and insufficient reimbursement rates for residents’ care.

The paper explores the financial challenges facing the industry and outlines the data that speaks to the value of the rest home care option for both the residents themselves and Massachusetts state healthcare budget. It …

Chronic Disease Management: How It And Analytics Create Healthcare Value Through The Temporal Displacement Of Care, Steve M. Thompson, Johnathan Whitaker, Rajiv Kohli, Craig Jones

Finance Faculty Publications

The treatment of chronic diseases consumes 86% of U.S. healthcare costs. While healthcare organizations have traditionally focused on treating the complications of chronic diseases, advances in information technology (IT) and analytics can help clinicians and patients manage and slow the progression of chronic diseases to result in higher quality of life for patients and lower healthcare costs.

We build on prior research to introduce the notion of temporal displacement of care (TDC), in which IT and analytics create healthcare value by displacing the time at which providers and patients make interventions to improve healthcare outcomes and reduce costs. We propose …

Digital Technologies As Antecedents To Process Integration And Dynamic Capabilities In Healthcare: An Empirical Investigation, Tulika Chakravorty, Karunakar Jha, Sunil Barthwal, Samyadip Chakraborty

Journal of International Technology and Information Management

Healthcare has been in focus over the past decade due to its criticality and continuous revolution. In this digital era, with the advent of various technologies, healthcare is undergoing a massive transformation. This study attempts to analyze the impacts of three major digital technologies which are being adopted in the healthcare sector which are electronic medical records (EMR), enterprise resource planning (ERP) and internet-of-things (IoT) enabled medical wearables in the hospital context. Focusing towards analyzing the impact of these technologies towards process-integration and further towards dynamic capabilities like quality, agility and responsiveness; the study framework is well-grounded by two theoretical-underpinnings …

Blockchain-Based Healthcare: Three Successful Proof-Of-Concept Pilots Worth Considering, Rebecca Angeles

Journal of International Technology and Information Management

This paper features the use of blockchain technology in the healthcare industry, with special focus on healthcare data exchange and interoperability; drug supply chain integrity and remote auditing; and clinical trials and population health research. This study uses the research method of analyzing the published case studies, academic articles, trade articles, and videos on MEDRec, Patientory, and the AmerisourceBergen/Merck alliance with SAP/CryptoWerk. The “blockchain” concept was introduced around October 2008 when a proposal for the virtual currency, bitcoin, was offered. Blockchain is a much broader concept than bitcoin and has the following key attributes: distributed database; peer-to-peer transmission; transparency with …

Mobile Iot Adoption As Antecedent To Care-Service Efficiency And Improvement: Empirical Study In Healthcare-Context, Samyadip Chakraborty, Vaidik Bhatt

Journal of International Technology and Information Management

Internet of things (IoT) is the buzzword and pioneering breakthrough approach highlighted in today’s industry 4.0, where the devices are seamlessly integrated with each other, sharing vital information in real-time sync. With the wearable IoT devices, the diagnostic readings and physical measurements of the patients can be shared with the physician on the go and suitable diagnosis can as well be shared with patient in the real-time on their own mobile devices through IoT applications. This study empirically examines the importance of m-IoT adoption on the information pervasiveness across the network and patient stakeholders and in turn investigating how efficiency …

Ransomware In Healthcare Facilities: The Future Is Now, Nikki Spence, David P. Paul Iii, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Cybercriminals have begun to target the healthcare industry with a type of malware called ransomware, malware that encrypts an infected device and any attached devices or network drives. After encryption, cybercriminals demand a sum of money, also known as a “ransom,” to release the devices from encryption. Without adequate disaster recovery and backup plans, many businesses are forced to pay the ransom. The purpose of this study was to determine the extent of recent ransomware infections in healthcare settings, the risk liabilities and cost associated with such infections, and to determine possible risk mitigation tactics. Financial costs associated with business …

Ransomware In Healthcare Facilities: The Future Is Now, Nikki Spence, David P. Paul Iii, Alberto Coustasse

Management Faculty Research

Cybercriminals have begun to target the healthcare industry with a type of malware called ransomware, malware that encrypts an infected device and any attached devices or network drives. After encryption, cybercriminals demand a sum of money, also known as a “ransom,” to release the devices from encryption. Without adequate disaster recovery and backup plans, many businesses are forced to pay the ransom. The purpose of this study was to determine the extent of recent ransomware infections in healthcare settings, the risk liabilities and cost associated with such infections, and to determine possible risk mitigation tactics. Financial costs associated with business …

Holistic Approach: Paradigm Shift In The Research Agenda For Digitalisation Of Healthcare In Sub-Saharan Africa, Tadeusz K. Bara-Slupski

The African Journal of Information Systems

Despite significant resources employed in the digitalisation agenda in the healthcare sector in Sub-Saharan Africa, the transformative impact of information and communication technologies has not been realised. This article makes two contributions towards developing an understanding of this failure. First, it provides a review of a rich body of academic literature and practitioner accounts regarding barriers to digitalisation and organises them using an established framework. Second, recognising the continuing struggle that digitalisation presents, it proposes a paradigmatic shift in thinking about barriers to digitalisation and suggests the existence of a more fundamental barrier related to inappropriate incentives within the international …

Healthcare System-Use Behavior: A Systematic Review Of Its Determinants, Jiming Wu

Journal of International Technology and Information Management

To understand patient and physician behavior, researchers have investigated the determinants of using healthcare information systems. Although this stream of research has produced important findings, it has yet to appreciably advance our understanding of system-use behavior in healthcare. To fill this gap, the current paper employs a systematic review to synthesize past research, reveal the key determinants of healthcare system usage, and illuminate a deeper understanding of the topic. This study thus helps healthcare researchers expand their baseline knowledge of these core determinants and conduct more fruitful future research on system-use behavior in healthcare.

Intuition And Its Impact On Information Systems Success, Robecca Quammen

Doctor of Business Administration Dissertations

The concept of Intuition is not new to management and behavioral sciences. However, defining Intuition has been anything but intuitive even in these heavily studied domains. This research seeks to expand current Intuition research into the information systems (IS) domain. Given the velocity of change in contemporary IS, researchers and practitioners are seeking richer explanations and success measurements to better understand and promote effective use of IS. A preliminary content analysis of select proceedings from the Americas Conference on Information Systems (AMCIS), designed to assess the investigation and interest in the concept of Intuition as a contemporary IS research topic, …

Early To Adopt And Early To Discontinue: The Impact Of Self-Perceived And Actual It-Knowledge On Technology Use Behaviors Of End Users, Rohit Aggarwal, David Kryscynski, Vishal Midha, Harpeet Singh

Faculty Publications

For organizations to achieve the benefits of new IT systems their users must adopt and then actually use these new systems. Recent models help to articulate the potentially different explanations for why some users will adopt and then continue using new technologies, but these models have not explicitly incorporated IT-knowledge. This is particularly important in contexts where the user base may be non-IT professionals—i.e. the users may vary substantially in their basic IT-knowledge. We draw upon psychology to argue that in situations where there is wide variance in actual IT-knowledge there will often exist U relationship between actual and self-perceived …

The Influence Of Digital Self-Services On Patient’S Experience In A Polyclinic Context: A Framework Construction, Gabriela Labres Mallmann, Marco Plaisier, Johan Versendaal, Pascal Ravesteyn

Journal of International Technology and Information Management

The healthcare sector has done significant investments in technology in order to improve their processes; however there is evidence showing that new technology is not optimally used in certain healthcare settings. In this paper we present a framework to analyse how digital self- service (DSS) can optimize processes and improve patient experience in a polyclinic context. The framework consists of five digital self-service types and seven patient's experience factors, both taken from literature and validated for experts. The framework aims to show the influence of DSS in patient’s experience. The results show a positive impact of self-service diagnosis, treatment and …

A Tool To Evaluate Your Website For Patient Engagement, Lynne L. Ornes Phd, Rn, Kimberlee Snyder Phd, Pat Paulson Ms

Lynne L Ornes PhD, RN

No abstract provided.

Examining The Impact Of Information Technology On Healthcare Performance: A Theory Of Swift And Even Flow (Tsef) Perspective, Sarv Devaraj, Terence T. Ow, Rajiv Kohli

Management Faculty Research and Publications

The impact of information technologies on manufacturing operations and performance is well established. However, scant research has been devoted to examining information technology (IT) investment among hospitals and how it influences patient care and financial performance. Using the lens of the Theory of Swift Even Flow (TSEF), we present an operations management-based perspective on the effect of IT in streamlining hospital operations. Specifically, we examined the role of IT on patient flow and its consequences for improved hospital efficiency and performance. Analysis of data from 567 U.S. hospitals shows that IT is associated with swift and even patient flow, which …

Analysis United Kingdom And United States Healthcare, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

United Kingdom and the United States are two dissimilar health systems each having uniquely differing focuses, where the primary differences are a parliamentary verses a republic government application toward the socioeconomic requirements of the populace. The United Kingdom’s National Health Service interprets health care as a public service rather than the commodity. The United States healthcare system is riddled with disparities regarding quality, access and cost. The socioeconomic poor and or homeless are less likely to utilize the healthcare system when compared to others who are more fortunate. Health care systems are facing the same challenges around the world with …

Evaluating The Impact Of Health Information Technology On Quality, Ken Pinaire, Surendra Sarnikar

Surendra Sarnikar

There is an important need to understand how health information technology impacts healthcare quality. In this systematic review we analyze recent literature to understand the relationship between health information technology and healthcare quality. We report preliminary findings and offer recommendations for future study.

Does Information Technology Investment Influences Firm’S Market Value? The Case Of Non-Publicly Traded Healthcare Firms, Rajiv Kohli, Sarv Devaraj, Terence T. Ow

Management Faculty Research and Publications

Managers make informed information technology investment decisions when they are able to quantify how IT contributes to firm performance. While financial accounting measures inform IT’s influence on retrospective firm performance, senior managers expect evidence of how IT influences prospective measures such as the firm’s market value. We examine the efficacy of IT’s influence on firm value combined with measures of financial performance for non-publicly traded (NPT) hospitals that lack conventional market-based measures. We gathered actual sale transactions for NPT hospitals in the United States to derive the q ratio, a measure of market value. Our findings indicate that the influence …

Implementation Issues For Mobile-Wireless Infrastructure And Mobile Health Care Computing Devices For A Hospital Ward Setting, Liza Heslop, Stephen Weeding, Linda Dawson, Julie Fisher, Andrew Howard

Associate Professor Linda Dawson

mWard is a project whose purpose is to enhance existing clinical and administrative decision support and to consider mobile computers, connected via wireless network, for bringing clinical information to the point of care. The mWard project allowed a limited number of users to test and evaluate a selected range of mobile-wireless infrastructure and mobile health care computing devices at the neuroscience ward at Southern Health’s Monash Medical Centre, Victoria, Australia. Before the project commenced, the ward had two PC’s which were used as terminals by all ward-based staff and numerous multidisciplinary staff who visited the ward each day. The first …

It Alignment With Business Strategies In Healthcare Organizations: An Empirical Analysis, Zach G. Zacharia, David S. Preston, Chad W. Autry, Charles W. Lamb

Journal of International Technology and Information Management

This paper describes a study that assessed the performance implications of aligning information technology (IT) strategy to overall business strategy across a variety of health care organization (HCO) structures. We obtained survey results from senior executives of 178 hospitals to identify key configurations of IT strategic practices, business strategy and HCO structures. Using K- means cluster analysis, we identified which business strategies correlate strongly with certain IT strategy types. Our results indicate that HCOs achieve superior performance through unique combinations of business and IT strategy, suggesting that correctly aligning these strategies is a critical decision for healthcare organizations.

Patient Monitoring Via Mobile Ad Hoc Network: Power Management, Reliability, And Delays, Sweta Sneha

Computer Information Systems Dissertations

ABSTRACT PATIENT MONITORING VIA MOBILE AD HOC NETWORK - MAXIMIZING RELIABILITY WHILE MINIMIZING POWER USAGE AND DELAYS BY SWETA SNEHA May 22nd, 2008 Committee Chair: Dr. Upkar Varshney Major Department: Computer Information Systems Comprehensive monitoring of patients based on wireless and mobile technologies has been proposed for early detection of anomalies, provision of prompt medical attention, and corresponding reduction in healthcare expenses associated with unnecessary hospitalizations and treatment. However the quality and reliability of patient monitoring applications have not been satisfactory, primarily due to their sole dependence on infrastructure-oriented wireless networks such as wide-area cellular networks and wireless LANs with …