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Achieving success: assessing the role of and building a business case for technology in healthcare.

As the healthcare market continues to evolve, technology will play an increasingly important role in an integrated delivery system's ability to provide high-quality, cost-effective care. Healthcare leaders must be proactive and forward thinking about their technology investments. The financial investment for technology innovation can be significant. Therefore, it is important that healthcare executives deliberately design the role of technology and develop a consistent method for evaluating, identifying, and prioritizing technology investments. The article begins by describing technology's role in a healthcare organization as a window to the organization, a key driver of business strategy, and a high-performance enabler, and it develops a seven-step process for building a business case to ensure that an organization's technology investments are wise, well-reasoned, and will provide value to its customers. In addition, the article discusses the importance of combining people and process reengineering with new technology to exponentially increase the value to an organization. Healthcare leaders must understand the multiple roles of technology and consistently develop a business case when making technology investment decisions. Organizations driven by such an understanding will have a robust infrastructure of enabling technology designed to integrate people and process elements with technology to achieve the goals and initiatives of the organization. These organizations will lead the healthcare industry into the next millennium.

Capital Expenditures↗

Provider-patient e-mail could transform medicine.

Experts say 5% to 10% of physicians are communicating with their patients by e-mail. E-mail can help physicians use their time more effectively, give them the ability to follow-up with patients more easily, improve relationships with existing patients, and help attract new ones. E-mail is an easy way to handle administrative tasks such as setting appointments and refilling prescriptions. It also provides written documentation of conversations that can be placed in the patient's paper chart.

Communication↗

[Teledermatology--importance of telemedicine and dermatology].

Due to a constantly improving technology the transfer of clinical images associated with histological images represents the actual answer to the expectation of Dermatologists. The authors give their personal experience regarding the use of telemedicine in Dermatology: discussion of clinical cases, histopathological presentation, diagnostic assistance, follow-up of patients, teaching, and research. Perspectives and development offered by telemedicine as well as the advantages of patient care, and of presenting research topics are mentioned. Also aspects which have to be clarified before telemedicine takes up are presented: as far as that goes for practicing Medicine and Dermatology, technical applicability, credibility, acceptance, confidence and responsibility.

Dermatology↗

Barriers to the adoption of computerized technology in health care systems.

The increased emphasis on national health care plans, cost reduction, and additional recordkeeping has given impetus to the adoption of computerized information technologies in hospitals. A series of case studies performed in large, multihospital health care systems revealed ten important barriers to the adoption of information technologies grouped as follows: knowledge problems, approval problems, design problems, and implementation problems. These aspects were uncovered by using focus studies and interviews with chief information officers, physicians, consultants, and medical staff and by consulting numerous journals in the field. The article describes the barriers that arise because of the special conditions in hospitals and shows how some institutions are working to eliminate these barriers. The strategic issues that should be studied to overcome these barriers are also discussed.

Attitude to Computers↗

The Internet and poverty: real help or real hype? Panos Briefing No. 28.

Governments, donors and development organisations are rushing to realise the benefits that Internet access promises in the fight against poverty. But are the benefits it has brought so far merely isolated examples or are they signs that a revolution is underway? Access to information is an essential condition of development. The Internet has prompted a change in development thinking and many donor and multilateral lending organisations are radically reshaping their policies for the new information age. But is the enthusiasm among donors for spending on Internet development diverting funds from more traditional forms of development assistance? In terms of its most adaptive component, the World Wide Web, the Internet is still only four years old. Real hype or real help? The jury is still out. Quite simply, it is still too soon to tell.

Computers↗