Abstract
Governance of information technology (IT) is crucial for the implementation and uptake of eHealth, new communication technologies in the health sector. In a set of case studies and evidence we see that a well defined IT strategy, well implemented, will ensure a more successful use of IT in hospitals. Elements of IT governance are: (i) IT being core to the hospital’s strategy, its relevance and long-term implication are recognised and actively supported by the chief executive level; (ii) IT issues are represented at the board level, with regular revisions on the agenda; (iii) a bridging function links IT and clinical expertise, realised by a chief medical information officer or a steering committee; (iv) user involvement in strategy and implementation is assured by the committee, allowing for ownership and speedy uptake; (v) a good monitoring process and regular revisions will ensure adaptation to strategy and implementation. For the overall success of IT in health care it will be crucial to properly integrate new technology developments, such as mHealth and social networks in both the clinical processes and patients’ daily lives. However, often it is not the technology as such, but a well designed and well implemented business model that will allow IT to bring real improvements in health care to all users, be it providers, funding institutions, professional users or patients.
Keywords
- Information Technology
- European Union
- Steering Committee
- Electronic Patient Record
- Computerise Physician Order Entry
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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- 1.
EHealth Week Barcelona 2010—www.ehealthweek2010.org/.
- 2.
Henrik Argell, Director of Business Development, Telemedicine Clinic, Barcelona. www.telemedicineclinic.com.
- 3.
Epsos—European Patients Open Records, www.epsos.eu.
- 4.
Outcome of focal group discussions at the European Cancer Patient Coalition, MasterClass, Milan, Italy 28 May 2005.
- 5.
Community Clinical Trial System—www.eudract.ema.europa.eu/.
- 6.
The whole variety of eHealth projects financed under FP7 can be found on the eHealth webpage http://ec.europa.eu/information_society/activities/health/research/fp7projects/index_en.htm.
- 7.
Three case studies were cited in the HIMSS—Agfa study. Funding and logistic support for this study was provided by Agfa, the third case study (MT) is based on a IESE case study.
- 8.
HUG—www.hug-ge.ch.
- 9.
Direction de l’Informatique de Gestion.
- 10.
XML Extensible Markup Language is a set of rules for encoding documents in machine-readable form.
- 11.
HTTP—Hypertext Transfer Protocol a networking protocol for distributed, collaborative, hypermedia information systems, the foundation of data communication for the World Wide Web. As XML, it stands for a web-based solution.
- 12.
Asklepios Klinik Barmbek; www.asklepios.com/barmbek—Future Hospital—www.asklepios-future-hospital.com.
- 13.
SAP—Business Management Software Solutions Applications and Services, a software company based in Germany; www.sap.com.
- 14.
RFID—Radio-frequency identification (RFID), a technology using communication via radio waves to exchange data between a reader and an electronic tag attached to an object, for the purpose of identification and tracking.
- 15.
DRK Klinken Berlin—www.drk-kliniken-berlin.de.
- 16.
Excerpt from an IESE case study, with my colleague Jaume Ribera and Research Assistant Jordan Mitchell. Mitchell et al. (2008). Mutua de Terrassa: Rollout of the Health Care Information System (HCIS). Case Study. Barcelona, IESE Business School.
- 17.
Mutua de Terrassa MT—www.mutuaterrassa.cat.
- 18.
CAP—Centre Atenció Primaria—Primary Health Care Centre.
- 19.
HP—Hewlett Packard—a US-based information technology company—www.hp.com.
- 20.
Telemedicine Clinic—www.telemedicineclinic.com.
- 21.
Advance Medical—www.advance-medical.com.
- 22.
Patients like me—www.patientslikeme.com.
- 23.
Cure together—www.curetogether.com.
- 24.
I am too young for this—www.i2y.com.
- 25.
Sermo—www.sermo.com
- 26.
The human papilloma virus (HPV) vaccine may prevent infection with certain species of human papillomavirus associated with the development of cervical cancer.
- 27.
Dutch website on HPV Vaccination (in Dutch) www.prikenbescherm.nl.
- 28.
Urgent Evoke (World Bank) www.urgentevoke.com.
- 29.
eHealth as part of the European Lead Market Initiative—http://ec.europa.eu/enterprise/policies/innovation/policy/lead-market-initiative/ehealth/index_en.htm.
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Rosenmöller, M. (2013). IT Governance in Healthcare Institutions. In: George, C., Whitehouse, D., Duquenoy, P. (eds) eHealth: Legal, Ethical and Governance Challenges. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22474-4_14
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