This paper presents a networkability maturity model as an approach to assess a health care organisation's capacity with regards to being able to efficiently engage in business relationships. Continuously rising costs and increasingly restrained budgets for health care put pressure on the public health systems. A low division of labour and integration of processes along cross-organisational patient therapy provides large potential for improvements in efficiency and efficacy. It is the aim of the presented model to enable identification of potentials for improvements and respective measures to advance the ability to benefit from specialisation and collaboration along the value chain. The presented model is developed based on a classification of related state-of-the-art in maturity models to assess individual factors of networkability which are integrated to form an overall framework comprising six components and respective factors to be assessed. As networkability maturity addresses the interrelation of strategy, organisational design and information systems design, the paper adheres to requirements for effective design science research applied to the process of construction of a networkability maturity model applicable for health care providers. It therefore concludes with a case-based evaluation according to the design research literature and identification of further research.
Healthcare-providing organisations realise astonishing advances in treatment procedures and medical technology that strongly impact health outcome. Despite recognition of potential contributions of Health Information Systems (HIS), their adoption is comparatively low. Based on the unified theory of acceptance and use of technology, six key variables are applied for a concept-driven literature research of criteria determining value of HIS. The resulting taxonomy contributes to the knowledge base a more detailed understanding of domain-specific HIS value indicators, which is tested for validity through a factor analysis.
Hospitals as the main entities of healthcare need to respond to policy initiatives affecting in particular the quality, efficiency and costs of health service delivery as well as cope with continuous technological advancements. Considering the information intensive character of healthcare, a shift in a hospital's business policy also induces potentials and pitfalls to the management of health information technology. In this sense, this paper strives to find an answer to the problem how to reduce misalignment of the business and IT architecture in hospitals. Following the design science research methodology, this paper emphasises the description of a method named H-BIT, which may support decision-makers in overcoming this alignment problem. Implications for healthcare practice are reported based on the experiences that were gained from the exemplary application of the method at a larger hospital.
The public sector is facing an increased service level demand from citizens and companies which comes along with reduced financial scope. Higher process efficiency as well as time and cost savings are required to cope with this challenge. However, own experience shows that reorganization projects in public administrations which are based on established generic process modeling methods can only identify limited reorganization potential for ICT support in single processes and just lead to small local improvements (Algermissen et al., 2005). Therefore, we have created the modeling and analysis methodology PICTURE. The PICTURE methodology first applies the domain vocabulary to efficiently capture the process landscape of a public organization. It then analyses semiautomatically the processes and points at business processes with reorganization potential. Thus, PICTURE creates process transparency and supports decision makers in developing a holistic ICT investment and transformation strategy for the entire administration.
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