[AISWorld] JAIS Volume 12, Issue 2, February 2011- Special Issue on Health Care IT: Process, People and Patients

[Gregor, Shirley]

The Journal of the Association for Information Systems (JAIS)
Official Publication of the Association for Information Systems

Volume 12, Issue 2, February 2011- JAIS Special Issue on Health Care IT: Process, People and Patients

Published: Monthly Electronically
ISSN: 1536-9323
Published by the Association for Information Systems,  Atlanta, USA
http://aisel.aisnet.org/jais/

Editor-in-Chief: Professor Shirley Gregor, The Australian National University, Australia

In a two-volume issue of the Journal of the Association of Information Systems, Health Care Information and Management Systems (HIS) is examined from the perspectives of people, processes and patients.  The Information Systems (IS) community can play a critical role in the advancement of care delivery, patient-centric application design and use, system implementations, and technical and organizational process integration.  While we learn that a myriad of challenges remain, this issue highlights the opportunity for interdisciplinary approaches to address the problems associated with health care.  According to the issue’s editorial contribution, Health Care IT: Process, People, Patients and Interdisciplinary Considerations (Payton, Paré, LeRouge and Reddy, 2011), the National Academy of Sciences concluded that all health professionals should be trained to deliver patient-centered care as members of an interdisciplinary team emphasizing evident-based practice, quality improvement approaches and informatics (p 121).  This imperative not only calls for interdisciplinary methodologies and theoretical foundations needed to address clinical outcomes, health disparities, evidence-based practices, treatment management but implies the need for integration among people, patients and processes among healthcare stakeholders.  

Fay Cobb Payton, Ph.D., MBA
Associate Professor 
Information Systems North Carolina State University


INTRODUCTION
Health Care IT: Process, People, Patients and Interdisciplinary Considerations
Fay Cobb Payton
Guy Pare
Cynthia M. Le Rouge
Madhu Reddy

To obtain a copy of the entire article, click on the link below.
http://aisel.aisnet.org/jais/vol12/iss2/4/

PAPER ONE
An Organizational Culture-Based Theory of Clinical Information Systems Implementation in Hospitals
Suzanne Rivard
Liette Lapointe
Antonio Kappos

We propose an organizational culture-based explanation of the level of difficulty of clinical information system (CIS) implementation and of the practices that can contribute to reduce the level of difficulty of this process. Adopting an analytic induction approach, we developed initial theoretical propositions based on a three-perspective conceptualization of organizational culture: integration, differentiation, and fragmentation.  Using data from three cases of CIS implementation, we first performed a deductive analysis to test our propositions on the relationships between culture, CIS characteristics, implementation practices, and the level of implementation difficulty. Then, applying an inductive analysis strategy, we re-analyzed the data and developed new propositions. Our analysis shows that four values play a central role in CIS implementation. Two values, quality of care and efficiency of clinical practices, are key from an integration perspective; two others, professional status/autonomy and medical dominance, are paramount from a differentiation perspective. A fragmentation perspective analysis reveals that hospital users sometimes have ambiguous interpretations of some CIS characteristics and/or implementation practices in terms of their consistency with these four values. Overall, the proposed theory provides a rich explanation of the relationships between CIS characteristics, implementation practices, user values, and the level of difficulty of the implementation process.

To obtain a copy of the entire article, click on the link below.
http://aisel.aisnet.org/jais/vol12/iss2/3/

PAPER TWO
Dynamic Capabilities in Home Health: IT-Enabled Transformation of Post-Acute Care
Rajendra Singh
Lars Mathiassen
Max E. Stachura
Elena V. Astapova

Home health care can enable shorter hospital stays, reduce re-hospitalization, and contribute to lowered out-of-hospital morbidity and mortality. However, recent changes in Medicare payments and regulations in the US have challenged home health care providers’ business models. Against this backdrop, we draw on the dynamic capability perspective to examine how one home health care provider responded to this challenge over the period 2000-2009 by combining adaptive organization principles and information technology (IT) to transform its post-acute care delivery. The transformation leveraged the organization’s existing dynamic capabilities; improved nursing practices; engaged physicians, nurses, managers, and patients; and implemented remote patient monitoring and other IT-enabled innovations. Integrating information systems and health services literatures, we identify the processes targeted by the transformation, analyze how the provider built adaptive care delivery capability enabled by IT, and demonstrate how the transformation led to improved clinical and financial outcomes. In addition, we offer new insights into the micro-foundations of dynamic capabilities by distinguishing between capabilities at the transactional and transformational levels, and explaining how different types of IT-enabled capabilities shaped, and were shaped by, the home health care provider’s responses to environmental changes.

To obtain a copy of the entire article, click on the link below.
http://aisel.aisnet.org/jais/vol12/iss2/2/

PAPER THREE 
The Dynamics of Information Collaboration: A Case Study of Blended IT Value Propositions for Health Information Exchange in Disability Determination
Sue S. Feldman 
Thomas A. Horan
 
Recent developments in health information technology (health IT) for health information exchange suggest that successful public-private collaborations should devote more attention to understanding the dynamics of collaboration. In the context of health information sharing for disability determination, this case study examines early instances of public-private interorganizational sharing of health information. The theoretical focus of the paper is on the construction of blended value propositions and their role in collaboration for health information exchange. For this purpose, we performed a case analysis of a prototype health IT application to be shared between the United States Social Security Administration and Beth Israel Deaconess Medical Center. The case analysis found that business, socio-organizational, and technical dynamics were operative during the planning and execution of the prototype. From a theoretical perspective, the case study provides insight into blended value propositions in terms of understanding and potentially predicting the success of newly established Health Information Exchanges (HIEs). The findings have implications for further development of collaboration value propositions and their evolution over the course of IT deployments for health information exchange.

To obtain a copy of the entire article, click on the link below.
http://aisel.aisnet.org/jais/vol12/iss2/1/



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