Maturity of hospital information systems: Most important influencing factors

Abstract

Maturity models facilitate organizational management, including information systems management, with hospital organizations no exception. This article puts forth a study carried out with a group of experts in the field of hospital information systems management with a view to identifying the main influencing factors to be included in an encompassing maturity model for hospital information systems management. This study is based on the results of a literature review, which identified maturity models in the health field and relevant influencing factors. The development of this model is justified to the extent that the available maturity models for the hospital information systems management field reveal multiple limitations, including lack of detail, absence of tools to determine their maturity and lack of characterization for stages of maturity structured by different influencing factors.

Synthesizing Dimensions of Digital Maturity in Hospitals: Systematic Review

“…The standards indicator assesses the extent to which processes [ 30 - 32 ], policies, and procedures are based on the standards that have been formally agreed and mandated [ 24 ] and the extent to which these contribute to optimizing the health care organization [ 11 , 12 , 33 ]; nevertheless, this indicator is not contrary to innovation. The risk management indicator acknowledges the need for the workforce to identify, mitigate, and report risks to ensure the safety, security, and privacy of patients [ 1 , 11 , 26 - 28 ] and the workforce [ 21 ]. The data governance indicator further assesses whether data integrity, security, and privacy are preserved across the digital systems in health care settings [ 12 ], supported by standardized processes and protocols for accessibility and authorization [ 22 , 23 , 34 ].…”

“…The IT capability dimension represents the extent to which the organization has implemented IT infrastructure, digital systems, technologies, and services [ 21 ] that are usable and effective [ 22 ]. This dimension comprised three indicators: systems and services, IT infrastructure, and technical quality.…”

“…The systems and services indicator, which examines the digital systems implemented to support clinical care, is the most prominent indicator within this dimension. The systems identified as being important to digital maturity include electronic medical records, clinical decision support systems, e-prescribing, PACS [ 11 , 35 , 36 ], orders and results management, asset and resource optimization systems [ 22 ], and remote and assistive care systems [ 1 , 21 ]. The IT infrastructure indicator focuses on infrastructure [ 21 , 37 ] and architecture [ 1 ] designed and installed to support the aforementioned systems and services [ 12 ].…”

“…The systems identified as being important to digital maturity include electronic medical records, clinical decision support systems, e-prescribing, PACS [ 11 , 35 , 36 ], orders and results management, asset and resource optimization systems [ 22 ], and remote and assistive care systems [ 1 , 21 ]. The IT infrastructure indicator focuses on infrastructure [ 21 , 37 ] and architecture [ 1 ] designed and installed to support the aforementioned systems and services [ 12 ]. The systems and services indicator, as well as the IT infrastructure indicator, largely examine what technology and supporting structures have been implemented but do not account for their effectiveness.…”

“…The systems and services indicator, as well as the IT infrastructure indicator, largely examine what technology and supporting structures have been implemented but do not account for their effectiveness. Alternatively, the technical quality indicator focuses on how effective, efficient, and fit for purpose the digital systems are [ 21 , 38 ].…”