Back to basics 2. The role of the board in the IT discussion.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to John P Glaser.
Explore the source record for details and available documents.
A centerpiece of the nation's healthcare information technology vision is the implementation of health information exchanges (HIEs). HIEs have the significant potential to improve the quality of patient care, reduce care costs, and enhance patient safety. These kinds of exchanges are new to healthcare in the United States. While more than 200 communities are in various stages of implementing them, there is little mature experience with the factors that contribute to the successful formation and sustainability of these exchanges. The creation and management of mechanisms to support the exchange of data between organizations has been used in other industries. There are many examples of interorganizational systems that have been established in industries as diverse as banking, manufacturing, government, and retail. This paper examines some of these experiences and attempts to glean the concepts and guidance healthcare can learn from other industries.
The core intent in developing an IT strategy is to ensure that there is a strong and clear relationship between IT investment decisions and the organization's overall strategies, goals, and objectives. In the course of developing an IT strategy, an organization may fall victim to three major misconceptions about IT strategy. Those misconceptions are: The IT strategy should be solely derived from a thorough review of organizational strategies and plans. The IT strategy should be dominated by a focus on defining needed application systems. The IT strategy is better if it is developed by using a rigorous methodology. These misconceptions are dangerous. While they are right, they are not completely right. Hence, a dogmatic approach embracing these misconceptions risks an incomplete IT strategy or a strategy that is not as aligned with the organization as it should be.
Most healthcare organizations need to develop an understanding of the role, maturity, and utility of new information technologies. Performing this research can present a series of challenges. For example, IT staff may not know how to obtain resources; the research may show promising results but fail to be implemented; and organizations may not develop a thoughtful portfolio of research projects. To minimize these problems, applied information technology research must be managed. This paper describes the information technology research process at Partners HealthCare. The research process is a management process designed to identify important research topics, solicit IT staff proposals to investigate topics, prioritize and fund research projects, and communicate and disseminate research results. Sample research topics include the role of RFID, the impact of Internet-based e-visits, and approaches for integrating speech and direct input for clinical information systems. The paper describes the goals and activities of the research process and the role of the research council. The research proposal review process is discussed, and an inventory of approved research projects is reviewed. The paper discusses several challenges involved in creating and managing the research process.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The New England Healthcare EDI Network (NEHEN) is a collaborative of providers and payers in eastern Massachusetts that created, manages, and operates a shared insurance EDI infrastructure. NEHEN currently has 12 provider and three payer members, and supports over 1,000,000 insurance EDI transactions per month. This paper describes the philosophies that define the NEHEN business model and discusses its governance structure, technology, operational issues associated with its implementation, and its current status, along with lessons learned from the NEHEN undertaking.
Explore the source record for details and available documents.
IT interventions, such as provider order entry and knowledge repositories, are improving the application of medical knowledge. One health system's experiences are reviewed, including challenges faced and organizational factors that supported the process.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.