Browsing by Subject "health information systems"
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Item Cervical cancer data and data systems in limited-resource settings: Challenges and opportunities(Wiley, 2017-07) Drummond, Jennifer L.; Were, Martin C.; Arrossi, Silvina; Wools-Kaloustian, Kara; Medicine, School of MedicineAppropriate collection and use of health information is critical to the planning, scaling up, and improvement of cervical cancer programs. The health information systems implementation landscape is unique to each country; however, systems serving cervical cancer programs in low-resource settings share characteristics that present common challenges. In response, many programs have taken innovative approaches to generating the quality information needed for decision making. Recent advances in health information technology also provide feasible solutions to challenges. This article draws from the experiences of the authors and from current literature to describe outstanding challenges and promising practices in the implementation of cervical cancer data systems, and to make recommendations for next steps. Recommendations include engaging all stakeholders—including providers, program managers, implementing partners, and donors—in promoting national, district, and community information systems; building on existing systems and processes, as well as introducing new technologies; and evolving data collection and data systems as programs advance.Item Exploring the potential and challenges of using mobile based technology in strengthening health information systems: Experiences from a pilot study(Association for Information Systems, 2010-08-01) Purkayastha, Saptarshi; Sahay, Sundeep; Mukherjee, ArunimaThis paper empirically examines the challenges of introducing a mobile based reporting system (called SCDRT) within the public health system in India to strengthen the health information systems, and also discusses the approaches to address these challenges. Taking an “infrastructure” perspective, various socio$technical challenges relating to technology, operator and usage are discussed. Scaling, in geographical and functional terms, is discussed with a focus on aspects of “attractors” and “motivation.”Item Modernizing health information technology: lessons from healthcare delivery systems(Oxford University Press, 2020-09) Amlung, Joseph; Huth, Hannah; Cullen, Theresa; Sequist, Thomas; Medicine, School of MedicineObjective: To identify recurrent themes, insights, and process recommendations from stakeholders in US organizations during the health information technology (HIT) modernization of an existing electronic health record (EHR) to a commercial-off-the-shelf product in both resource-plentiful settings and in a resource-constrained environment, the US Indian Health Service. Materials and methods: Thirteen qualitative interviews with stakeholders in various organizations were conducted about HIT modernization efforts. Using a Theory of Change framework, recurring themes were identified and analyzed. Results: The interviewees emphasized the importance of organizational and process revision during modernization, converting historical data, and clinical and leadership involvement. HIT implementation required technological and infrastructure redesign, additional training, and workflow reconfiguration. Motivations for modernization included EHR usability dissatisfaction, revenue enhancements, and improved clinical operations. Decision-making strategies, primarily during HIT selection, included meetings with stakeholders. Successful modernization resulted in improvements in clinical operations, patient experience, and financial outlay. Discussion: Existing implementation frameworks fail to provide experiential feedback, such as implementation challenges, like data conversion, regulatory, functionality, and interoperability requirements. Regardless of the healthcare environment, HIT modernization requires the engagement of leadership and end-users during HIT selection and through all stages of the implementation to prepare people, processes, and technology. Organizations must iteratively define the technological, infrastructure, organizational, and workflow changes required for a successful HIT modernization effort. Conclusions: HIT modernization is an opportunity for organizational and technological change. Successful modernization requires a comprehensive, intentional, well-communicated, and multidisciplinary approach. Resource-constrained environments have the additional challenges of financial burdens, limited staffing, and unstable infrastructure.Item Overview, not Overwhelm: Framing Operational BI Tools using Organizational Capabilities(2013) Purkayastha, Saptarshi; Braa, JørnIn contexts where fragmentation of information systems is a problem, data warehouse (DW) has brought disparate sources of information together. While bringing data together from multiple health programs and patient record systems, how does one make sense of huge amounts of integrated information? Recent research and industry uses the term, “Operational BI” for decision making tools used in operational activities. In this paper, we highlight the use of DHIS 2, a large-scale, open-source, Health Management Information System (HMIS) that acts as a DW. Firstly, we present the results of a survey done in 13 countries to assess how Operational BI Tools are used. We then show 3 generations of BI Tools in DHIS 2 that have evolved from action-research done over 18 years in more than 30 countries. Secondly, we develop the Overview-Overwhelm (O-O) analytical framework for large-scale systems that need to work with Big Data. The O-O framework combines lessons from DHIS 2 BI Tools design and implementation survey results.Item Seven Lessons for Implementing a Health Information System(Elsevier, 2017-11) Shea, Lindsey A. G.; Tahir, Bilal; Heitkamp, Darel E.; Gunderman, Richard B.; Radiology and Imaging Sciences, School of Medicine