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Information Systems and Healthcare XXX: Charting a Strategic Path for Health Information Technology

机译：信息系统和医疗保健XXX：制定健康信息技术的战略路径

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Despite both the slow diffusion of information technology (IT) throughout health organizations and the high cost of implementation, organizations must focus on key strategic applications that deliver high quality care at lower costs. Identifying the strategic applications that support important healthcare processes is challenging. In this article we propose a framework for developing this high level perspective of strategic health information technology (HIT) applications. We then classify into the components of the framework numerous HIT applications and initiatives reported in the media. Based on an existing framework, we identify two critical dimensions that capture two important characteristics of a healthcare delivery process, namely, the degree of mediation and the degree of collaboration. A healthcare process with a high degree of mediation involves a large series of activities in a sequential manner. Processes with a low degree of mediation “understand” that most participants in care delivery contribute directly, often simultaneously, to the final result. The underlying principle for this dimension is the level of functionality of the application. The degree of collaboration refers to the extent to which information is exchanged among the participants in a process. Depending on the degree of exchange, one can identify processes as having higher or lower degrees of collaboration. The underlying principle for this dimension is the degree of interoperability among the applications. Strategic HIT applications lie on a continuum path from a low-high degree of mediation to a low-high degree of collaboration. Our examples show that healthcare delivery organizations evolve their HIT from ad-hoc isolated systems to interoperable, integrated digital health systems. The strategic framework provides a high level perspective of HIT while assisting in the evaluation of potential HIT candidates for implementation.
机译：尽管信息技术（IT）在整个卫生组织中的传播速度很慢，而且实施成本很高，但组织仍必须专注于以较低成本提供高质量医疗服务的关键战略应用。确定支持重要医疗流程的战略应用程序具有挑战性。在本文中，我们提出了一个框架，用于开发战略健康信息技术（HIT）应用程序的这种高级观点。然后，我们将媒体上报道的众多HIT应用程序和计划分类为框架的组成部分。在现有框架的基础上，我们确定了两个关键维度，这些维度捕获了医疗保健提供过程的两个重要特征，即调解程度和协作程度。高度调解的医疗保健过程以顺序的方式涉及一系列的活动。调解程度低的过程“理解”，大多数护理提供者通常（同时）直接为最终结果做出贡献。此维度的基本原理是应用程序的功能级别。协作程度是指过程中参与者之间交换信息的程度。根据交换的程度，人们可以将流程标识为协作程度更高或更低。此维度的基本原理是应用程序之间的互操作性程度。战略性HIT应用程序处于从低高度调解到低高度协作的连续路径上。我们的示例表明，医疗保健提供机构将其HIT从临时隔离的系统演变为可互操作的集成数字医疗系统。该战略框​​架提供了HIT的高级视角，同时协助评估了可能实施的HIT候选人。

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