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Organizational and technological insight as important factors for successful implementation of IT
Abstract
Politicians and hospital management in Sweden and Denmark focus on IT and especially Electronic Patient Record, EPR as a tool for changes that will lead to better economy as well as better quality and service to the patients. These changes are not direct effects of the new medium for patient records but indirect effects due to the possibilities embedded in the new technology. To ensure that the implementation is successful, i.e. leads to changes in organization structure and workflow, we need tools to prepare clinicians and management. The focus of this paper is the individual insight in technology and organization and it proposes a model to assess and categorize the possibilities of individuals and groups to participate in and make an implementation process powerful.
... Many attempts have been made using organizational theories and concepts. Since the 1990s the politicians and hospital management have focused on information technology as a possible solution12345678. The belief is, that IT could fulfil two purposes; both cut the expenses, and facilitate the implementation of new organizational concepts in Health Care. ...
... This re-implementation has two main objectives. First, to develop a shared vision of the objectives and future of the organisation – i.e. give the members an organizational insight [7]. Secondly to create a deeper understanding of the possibilities (and restrains) imbedded in the new technology i.e. creating a technological insight [ibid]. ...
Politicians and hospital management in Sweden and Denmark focus on IT and especially Electronic Patient Record, EPR as a tool for changes that will lead to better economy as well as better quality and service for the patients. These changes are not direct effects of the new medium for patient records but indirect effects due to the possibilities embedded in the new technology. This paper describes how clinicians as well as management in two hospitals interpret and uses the EPR. The findings clearly show that the intended changes i.e. the objectives for the implementation, never occurred. The interpretation of the interviews makes it possible to understand that one of the reasons is the lack of correlation between the conception and use of the EPR on one hand and the fact that the management and the clinicians do not share the same vision and mental picture of the future organization on the other.
... The organizational readiness for information system innovation could also be assessed in advance. The information about the organizational readiness could be used in planning implementation strategy (Nikula 1999;Snyder-Halpern 2001;Yetton, Sharma & Southon 1999), e.g., in what order to engage different parts of the organization or in which phase of implementation process managerial influence must be at its highest. The healthcare organizational readiness for information system innovation could be assessed by the validated eight subdimensions of knowledge, end-users, technology, administrative support, management structures, processes, resources, values and goals. ...
From a managerial point of view, the concept of organizational insight is one of the important concepts in terms of evaluating the current situation by taking lessons from the history of the organization and shaping provisions for the future through conscious planning and organizational vision. It can be said that organizational insight in organizations is high and organizational communication is strong when organizational consciousness is high. Considering that organizations with high organizational awareness are also intelligent organizations, organizational intelligence is high in organizations with high insight. It is a fact that string theory, which is the newest theory in the contemporary world and is mostly concentrated in the physical world, also influences leadership. In this chapter, we define insightful leaders that bring order to the organizations they lead and the abilities of insightful leaders in terms of nonlinearity and organizational intelligence.
The latest dramatic progress in the technologies of the computer industry is likely to increasingly influence the oncologist's daily routine. Besides well known and established telemedical services such as videoconferencing, the most influential trends are the spread of digital hospital infrastructures with unlimited, secured access to all relevant patient information. This article seeks to summarise the most imminent influences of telemedical developments on the future of the oncologist: the effects of telemedical services and electronic infrastructures on clinical workflow and on medical quality management. In addition, the history of telemedicine, recent technologies and the performance of electronic patient records are described.
There are constraints embedded in medical record structure that limit use by patients in self-directed disease management. Through systematic review of the literature from a critical perspective, four characteristics that either enhance or mitigate the influence of medical record structure on patient utilization of an electronic patient record (EPR) system have been identified: environmental pressures, physician centeredness, collaborative organizational culture, and patient centeredness. An evaluation framework is proposed for use when considering adaptation of existing EPR systems for online patient access. Exemplars of patient-accessible EPR systems from the literature are evaluated utilizing the framework. From this study, it appears that traditional information system research and development methods may not wholly capture many pertinent social issues that arise when expanding access of EPR systems to patients. Critically rooted methods such as action research can directly inform development strategies so that these systems may positively influence health outcomes.
The use of IT in health care has merged advanced knowledge and skills for health care professionals. Former studies indicate that basic skills in computer use are no more than comprehensive competencies to manage electronically stored information in health care. The purpose of this paper is to review the literature focusing on the concept information literacy in the field of health, nursing and medical informatics. The target is to find out how information literacy is defined, in what kind of context it is presented and who are the focus of interest.
An automated literature search was performed on-line to Medline and by using the EndNote Bibliographic Software. All together the number of papers analyzed was 97 or 78% of the total literature search result.
The survey indicates that the concept information literacy does not exist as such in the literature, but it can be found as a synonym to 'computer literacy' or even more obscure concepts such as 'informatics awareness' or 'computer experience'. The definitions of these concepts varied considerably. A variety of descriptions of educational programs were also found, none were based on the IMIA recommendations.
In international cooperation such as that of IMIA WG1, a wide range of efforts still needs to be carried out to compile educational programmes in health informatics to enhance knowledge and skills in computer use among health care professionals.
Learning is now widely accepted as the currency of survival in an era of constant change. Many businesses, however, are struggling to learn how to learn. The cultural and structural issues they need to confront in order to acquire the flexibility and responsiveness to learn were articulated in 1990 in The Fifth Discipline by Peter M Senge of Massachusetts Institute of Technology. Measuring Business Excellence revisits this now landmark work to review its continuing relevance to the aspirant learning organization.
The demands on the health care sector are increasing both from the outside, e.g. political push for cost containment, improved service and quality, and from within as new technologies and procedures are introduced. This calls for an organisation that can adjust to new conditions through flexibility and creativeness. The concept of organisational learning has been introduced as a potential way to meet these challenges. The objectives for this paper are to focus on central topics within the concept of organisational learning relevant for health care organisations and discuss the consequences of these applied to health care organisations.
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