Demand-driven Evolution of IT Systems in Healthcare

2005 ◽  
Vol 44 (01) ◽  
pp. 4-10 ◽  
Author(s):  
F. Buessecker ◽  
H. Herlofsen ◽  
F. Hinrichs ◽  
T. Zeiler ◽  
K. A. Kuhn ◽  
...  

Summary Objectives: To analyze and to optimize interdisciplinary clinical processes, to introduce an IT-supported model for demand-driven system evolution in healthcare, and to demonstrate the feasibility of the approach for a clinical example and to present an evaluation. Methods: System evolution and change management are viewed as two sides of the same coin, thus formal methods for process analysis and IT system evolution were embedded into a goal-oriented change management model. Based on a process model, a Failure Mode and Effects Analysis (FMEA) and a computer simulation were performed. A tool for rapid application development (RAD) was used to incrementally improve the healthcare information system according to newly arising needs. Results: Each of the formal methods used contributed to the successful reorganization of the interdisciplinary clinical process. An evaluation demonstrated significant improvements. An integrated IT application was implemented to support the optimized process. Conclusions: Process improvement is feasible and effective when formal methods for process analysis and requirements specification are used in a reasonable and goal-oriented way. It might be necessary to trade off costs and benefits or simplify a given method in the context of a particular project. As the same information is utilized in different tools, it is supposed that the efforts for process analysis, documentation and implementation of adapted applications could be reduced if different tools were integrated and based on a single coherent reference model for description of clinical processes.

Author(s):  
Laurence Lock Lee

In this chapter a management framework designed by and for the IT function will be reviewed from a network’s perspective. ITIL (Information Technology Infrastructure Library) is the result of an initiative of the UK Office of Government Commerce to collate and publish a suite of “Best IT Management” practices. The result is a process model covering the various IT service functions like service desks, problem and incident management; configuration and change management; service level management, capacity management, security management; and IT application development, implementation and maintenance.


2018 ◽  
Vol 2 (2) ◽  
pp. 74-82
Author(s):  
Oliver Weisshaupt ◽  
Gabriela V. Leiblein-Züger ◽  
Susanne Hofer

ABSTRACT Background Since the introduction of Swiss Diagnosis Related Groups in 2012, a Swiss hospital's core business requires Facility Management that provides more transparent, effective and efficient services. In that respect, the new remuneration system has caused a growing interest in processes. Food provision is of high importance since it is one of the costliest support services and is a critical image factor of a hospital. Purpose The purpose of this research was to analyse the food service processes in Facility Management in hospitals through the lenses of social, economic and ecological sustainability as well as hygiene and safety, and to identify which issues arise from each viewpoint for the respective sub-processes. Methodology A two-fold qualitative case study design was applied, based on the reference model theory Process Model for Non-Medical Support Services in Hospitals. First, based on focus groups, the process model was developed. Second, the model was validated by input from interviews with Facility Management professionals. Results Each sub-process requires the consideration of individual factors from the perspectives of sustainability, hygiene and safety. Similarly, various overarching factors were identified, such as the production method that impact not only a single sub-process, but also play a role in the whole catering process. Additionally, it became evident that food provision in hospitals is particularly affected by the conflicting priorities of cost-effectiveness and sustainability. Conclusion The outcome of this work is a model that allows a holistic process analysis of catering activities in hospitals since it takes into account social, economic and ecological sustainability, as well as both hygiene and safety aspects for the individual sub-processes. This research gives guidance to facility managers who strive for process optimisation to guarantee efficient and effective food provision in hospitals. Unique Value to the Body of Facility Management Knowledge This work applies established catering sub-processes in hospitals to the context of sustainability, hygiene and safety. The proposed model caters to the increasing interest in processes in healthcare in Switzerland and can presumably be applied to hospitals of other countries.


1992 ◽  
Vol 26 (3-4) ◽  
pp. 753-762 ◽  
Author(s):  
A. F. Rozich

The purpose of this paper is to present the background and examples of methodology which enable environmental engineers and scientists to analyze activated sludge processes much more effectively than is otherwise possible with conventional approaches. Good process analyses are key for devising optimal design and operational strategies. The key features to the technique presented herein are the field-proven predictability of the model and the methodology for collecting data needed for calibrating the process model. Case histories prove the predictability of the model that is associated with the process analysis approach. The advantage of the approach advocated herein is the use of respirometric techniques to calibrate the model. These methods enable the process analyst to collect the requisite data for model calibration in twenty-four hours or less. This feature enables one to use this process analysis methodology for both design and operational applications. The paper will present the technical basis for the process model and how respirometric methods are utilized to compute biokinetic constants in a manner which is consistent with kinetic theory. Case histories will be discussed that demonstrate the predictability of the modeling approach and demonstrate the utility of this tool for process analysis.


2021 ◽  
Vol 5 (1) ◽  
pp. 47-56
Author(s):  
Lingga Yuliana ◽  
Ida Trigani ◽  
Wulan Aditya Putri

Abstract Cement is one of the building material commodities that has an important role in the smooth running of development, particularly in the construction sector. The purpose of this study was to find out how the influence of Change Management on Company Organizational Performance and to determine the Aspects of Organizational Performance and Organizational Performance which have a major influence based on the Analytic Network Process analysis. Respondents who were involved in the study were a research analysis and business owner with a material store business unit. The sampling technique used in this research was purposive sampling method. This research was a descriptive study and requires a model and analysis tools that are able to accommodatethe research. The analytical tool used in this research was the Analytic Network Process (ANP) method. With ANP, the study analyzed the value per cluster, the value of all nodes and the synthesis value of the change management cluster. The results showed that change management has an impact on organizational performance. In change management, leadership performance is one of the six dimensions that provide the most important impact and get the highest value. Whereas in organizational performance, task performance gets the highest score. Keywords: Change Management, Organizational Performance, Analytic Network Process


2012 ◽  
Vol 24 (3) ◽  
pp. 69-85 ◽  
Author(s):  
Shah Jahan Miah

This paper describes a new conceptual approach of e-government application development in which end users such as government managers, responsible officials and citizens at different levels can engage in effective service delivery, particularly in the agricultural sector. This approach provides end-user specific customizable provisions in which responsible government officials can design public services for the target end-user groups/local citizens such as primary producers. In the G2C (Government to Citizen) dimension, the author focuses on a hypothetical case of an e-government solution that provides various agricultural extension services such as training, awareness, consultation services, and knowledge sharing services provision, according to individual or farming requirements. This initiative reinforces a shift from the traditional information portal process to a new provision where citizens/primary producers can actively contribute in designing their useful services from the relevant government agencies. This paper presents a generic process model and identifies the critical interplaying roles between the end-user groups. The study argues that the process model may be operationalized in various other government service sectors.


2011 ◽  
Vol 3 (1) ◽  
pp. 67-80 ◽  
Author(s):  
Marcin Kotarba

Process Approach to Knowledge ManagementThe article points out the limited availability of practical implementation guidelines, methods and tools as one of the core issues in the widespread usage of knowledge management (KM) in organizations. The process approach is proposed as an efficient way to understand the scope of knowledge management and to plan its development or improvement, in line with organizational strategy. The role of information technology (IT) in supporting knowledge management is emphasized and key functional groups of IT systems are listed. A sample section of the detailed process model is presented for the KM resource identification master process, with a BPMN graphical visualization. Both the process model and the detailed specification of IT systems supporting knowledge management are considered by the author as complex structures that require to be hosted in a dedicated support environment. Key assumptions of a tool, named KMBoost, are outlined to show how a simple, but interactive toolset can foster the understanding and usage of the KM process model. In the concluding remarks a high level SWOT analysis of the KM process model and the KMBoost tool is conducted.


Author(s):  
Thamer Al-Rousan

The cloud computing paradigm offers an innovative and promising vision concerning Information and Communications Technology. Actually, it provides the possibility of improving IT systems management and is changing the way in which hardware and software are designed and purchased. This paper introduces challenges in Global Software Development (GSD) and application of cloud computing platforms as a solution to some problems. Even though cloud computing provides compelling benefits and cost-effective options for GSD, new risks and difficulties must be taken into account. Thus, the paper presents a study about the risk issues involved in cloud computing. It highlights the different types of risks and how their existence can affect GSD. It also proposes a new risk management process model. The risk model employs new processes for risk analysis and assessment. Its aim is to analyse cloud risks quantitatively and, consequently, prioritise them according to their impact on different GSD objectives.


Author(s):  
Amen Alrobai ◽  
Abdullah Algashami ◽  
Huseyin Dogan ◽  
Tessa Corner ◽  
Keith Phalp ◽  
...  

Digital addiction (hereafter DA) denotes a problematic relationship with technology described by being compulsive, obsessive, impulsive and hasty. New research has identified cases where users’ digital behaviour shows symptoms meeting the clinical criteria of behavioural addiction. The online peer groups approach is one of the strategies to combat addictive behaviours. Unlike other behaviours, intervention and addictive usage can be on the same medium; the online space. This shared medium empowers influence techniques found in peer groups, such as self-monitoring, social surveillance, and personalised feedback, with a higher degree of interactivity, continuity and real-time communication. Social media platforms in general and online peer groups, in particular, have received little guidance as to how software design should take it into account. Careful theoretical understanding of the unique attributes and dynamics of such platforms and their intersection with gamification and persuasive techniques is needed as the ad-hoc design may cause unexpected harm. In this paper, we investigate how to facilitate the design process to ensure a systematic development of this technology. We conducted several qualitative studies including user studies and observational investigations. The primary contribution of this research is twofold: (i) a reference model for designing interactive online platforms to host peer groups and combat DA, (ii) a process model, COPE.er, inspired by the participatory design approach to building Customisable Online Persuasive Ecology by Engineering Rehabilitation strategies for different groups.


Author(s):  
Carrison K.S. Tong ◽  
Eric T.T. Wong

A large number of studies have attempted to identify the factors that contribute to good PACS quality, such as that shown by Reiner et al (2003). Results from these studies (Bauman, 2000; Ralston, 2000) reveal that the success of PACS requires healthcare organizations and managers to adequately address various types of challenges: technological (e.g., integration with other information systems), managerial (e.g., project management), organizational (e.g., availability of resources), behavioural (e.g., change management), and political (e.g., alignment among key participants). Most investigations have considered a single, or at best, a small number of factors contributing to a fragmented view of PACS success. Broadly, these studies may be classified into those that consider the impact of PACS on radiologists’ workload and productivity (Gale, 1999), those that consider its clinical implications (Hertzberg, 2000) and those associated with performance of the radiology department (Hayt, 2001). Rather than measuring the quality of the PACS performance, other researchers have preferred to focus on the quality of the information, that the system produces, primarily in the form of images and reports. For instance, Lou et al. (1997) considered the data integrity and completeness of acquired images. Quality of images in terms of timeliness, accuracy, completeness, and so forth, was also considered to be a key success factor in several evaluative studies (Cox, 2002; Pavlicek, 1999; Pilling, 2003; Blado, 2002). Indeed, Cox’s work was part of a wider evaluation exercise undertaken to assess the impact of the introduction of a PACS on the adult intensive care unit (AICU) at the Royal Brompton NHS Trust in London. The objectives of the research were to evaluate the perceptions of PACS of the medical and ancillary staff working within AICU as well as to undertake a preliminary assessment of its impact on the workload of radiographers. Questionnaires, interviews and a process analysis were undertaken. The research findings indicate that the overall perception of staff towards the introduction of the PACS was positive. The impact of the system on the workload of radiographers was significant, reducing the time taken to obtain an image from 90 to 60 minutes. However, lessons to be learned for future PACS implementations include the need to ensure compatibility with existing IT systems and adequate IT support. In short, once this expanded, but rather fragmented view of PACS success is recognized, it is not surprising to find that there are so many different measures of PACS quality in the literature depending upon which aspect of PACS the researcher focused his or her attention.


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