Advertisement

Journal of Medical Systems

, Volume 36, Issue 6, pp 3543–3553 | Cite as

Criteria for the Evaluation of a Cloud-Based Hospital Information System Outsourcing Provider

  • Chinyao Low
  • Ya Hsueh ChenEmail author
Original Paper

Abstract

As cloud computing technology has proliferated rapidly worldwide, there has been a trend toward adopting cloud-based hospital information systems (CHISs). This study examines the critical criteria for selecting the CHISs outsourcing provider. The fuzzy Delphi method (FDM) is used to evaluate the primary indicator collected from 188 useable responses at a working hospital in Taiwan. Moreover, the fuzzy analytic hierarchy process (FAHP) is employed to calculate the weights of these criteria and establish a fuzzy multi-criteria model of CHISs outsourcing provider selection from 42 experts. The results indicate that the five most critical criteria related to CHISs outsourcing provider selection are (1) system function, (2) service quality, (3) integration, (4) professionalism, and (5) economics. This study may contribute to understanding how cloud-based hospital systems can reinforce content design and offer a way to compete in the field by developing more appropriate systems.

Keywords

Cloud computing Hospital information system Outsourcing provider selection 

Notes

Conflict of interest

The authors declare that this work has no conflict of interest.

References

  1. 1.
    Pai, F. Y., and Huang, K. I., Applying the technology acceptance model to the introduction of healthcare information systems. Technol. Forecast. Soc. Change. 78(4):650–660, 2011. doi: 10.1016/j.techfore.2010.11.007.CrossRefGoogle Scholar
  2. 2.
    Behrend, T. S., Wiebe, E. N., London, J. E., and Johnson, E. C., Cloud computing adoption and usage in community colleges. Behav. Inform. Tech. 30(2):231–240, 2011. doi: 10.1080/0144929X.2010.489118.CrossRefGoogle Scholar
  3. 3.
    Haswell, H., ActiveHealth and IBM Pioneer Cloud Computing Approach to Help Doctors Deliver High Quality, Cost Effective Patient Care. http://www-03.ibm.com/press/us/en/pressrelease/32267.wss 2010, Accessed 5 March 2011
  4. 4.
    Löhr, H., Sadeghi, A. R., Winandy, M., Securing the E-health Cloud. http://www.slideshare.net/BongYoungSung/securing-the-e-health-cloud 2010, Accessed 10 August 2011
  5. 5.
    Sujith, E., Cloud Computing in Healthcare. http://www.frost.com/prod/servlet/market-insight-top.pag?docid=135578323 2008, Accessed 8 October 2011
  6. 6.
    Yucel, G., Cebi, S., Hoege, B., and Ozok, A. F., A fuzzy risk assessment model for hospital information system implementation. Expert Syst. Appl. 32(3):868–878, 2011. doi: 10.1016/j.eswa.2011.07.129.Google Scholar
  7. 7.
    Xu, X., From cloud computing to cloud manufacturing. Robot. Comput. Integrated Manuf. 28(1):75–86, 2012. doi: 10.1016/j.rcim.2011.07.002.CrossRefGoogle Scholar
  8. 8.
    Le, X. H., Lee, S., Lee, Y. K., et al., Activity-oriented access control to ubiquitous hospital information and services. Inform. Sci. 180(16):2979–2990, 2010. doi: 10.1016/j.ins.2010.04.020.CrossRefGoogle Scholar
  9. 9.
    Armbrust, M., Fox, A., Griffith, R., et al., A view of cloud computing. Comm. ACM. 53(4):50–58, 2010. doi: 10.1145/1721654.1721672.CrossRefGoogle Scholar
  10. 10.
    Goscinski, A., and Brock, M., Toward dynamic and attribute based publication, discovery and selection for cloud computing. Future. Generat. Comput. Syst. 26(7):947–970, 2010. doi: 10.1016/j.future.2010.03.009.CrossRefGoogle Scholar
  11. 11.
    Tuncay, E., Effective use of cloud computing in educational institutions. Procedia Soc. Behav. Sci. 2(2):938–942, 2010. doi: 10.1016/j.sbspro.2010.03.130.CrossRefGoogle Scholar
  12. 12.
    Buyya, R., Yeo, C. S., Venugopal, S., Broberg, J., and Brandic, I., Cloud computing and emerging IT platforms: Vision, hype, and reality for delivering computing as the 5th utility. Future. Generat. Comput. Syst. 25(6):599–616, 2009. doi: 10.1016/j.future.2008.12.001.CrossRefGoogle Scholar
  13. 13.
    Marshall, D., Now is the time to take the cloud seriously. http://vmblog.com/archive/2010/09/09/now-is-the-time-to-take-the-cloud-seriously.aspx 2010, Accessed 7 June 2011
  14. 14.
    Miller, J. A., Health IT look out: The cloud and outsourcing coming. http://www.tomsitpro.com/articles/cloud-computing-iaas-healthcare,1-3.html 2010, Accessed 8 June 2011
  15. 15.
    Chou, T. C., Chen, J. R., and Pan, S. L., The impacts of social capital on information technology outsourcing decisions: A case study of a Taiwanese high-tech firm. Int. J. Inform. Manag. 26(3):249–256, 2006. doi: 10.1016/j.ijinfomgt.2006.02.002.CrossRefGoogle Scholar
  16. 16.
    Burmahl, B., Making the choice: The pros and cons of outsourcing. Health Facil Manage 14(6):16–22, 2001.Google Scholar
  17. 17.
    Lorence, D. P., Healthcare information systems outsourcing. Int. J. Inform. Manag. 24(2):131–145, 2004. doi: 10.1016/j.ijinfomgt.2003.12.011.CrossRefGoogle Scholar
  18. 18.
    Menachemi, N., Burke, D., Diana, M., and Brooks, R., Characteristics of hospitals that outsource information system functions. J. Healthc. Inf. Manag. 19(1):63–69, 2005.Google Scholar
  19. 19.
    Diana, M. L., Exploring information systems outsourcing in U.S. hospital-based health care delivery systems. Health Care Manag. Sci. 12(4):434–450, 2009. doi: 10.1007/s10729-009-9100-4.CrossRefGoogle Scholar
  20. 20.
    Kahraman, C., Cebeci, U., and Ulukan, Z., Multi criteria supplier selection using fuzzy AHP. Logist. Inform. Manag. 16(6):382–94, 2003. doi: 10.1108/09576050310503367.CrossRefGoogle Scholar
  21. 21.
    Bryson, K. M. O., and Ngwenyama, O. K., Managing risks in information systems outsourcing: an approach to analyzing outsourcing risks and structuring incentive contracts. Eur. J. Oper. Res. 174(1):245–264, 2006. doi: 10.1016/j.ejor.2005.01.060.zbMATHCrossRefGoogle Scholar
  22. 22.
    Yang, C., and Huang, J. B., A decision model for IS outsourcing: Using a multicriteria method. Int. J. Inform. Manag. 20(3):225–239, 2000. doi: 10.1016/S0268-4012(00)00007-4.CrossRefGoogle Scholar
  23. 23.
    Yoon, Y., and Im, K., An evaluation system for IT outsourcing customer satisfaction using analytic hierarchy process. J. Global Inform. Manag. 13(4):55–78, 2005. doi: 10.4018/jgim.2005100103.CrossRefGoogle Scholar
  24. 24.
    Kahraman, C., Engin, O., Kabak, O., and Kaya, I., Information systems outsourcing decisions using a group decision-making approach. Eng. Appl. Artif. Intell. 22(6):832–841, 2009. doi: 10.1016/j.engappai.2008.10.009.CrossRefGoogle Scholar
  25. 25.
    Yang, D. H., Kim, S., Nam, C., and Min, J. W., Developing a decision model for business process outsourcing. Comput. Oper. Res. 34(12):3769–3778, 2007.zbMATHCrossRefGoogle Scholar
  26. 26.
    Büyüközkan, G., Cifci, G., and Guleryuz, S., Strategic analysis of healthcare service quality using fuzzy AHP methodology. Expert. Syst. Appl. 38(8):9407–9424, 2011. doi: 10.1016/j.eswa.2011.01.103.CrossRefGoogle Scholar
  27. 27.
    Ladhari, R., Developing e-service quality scales: A literature review. J. Retailing Consum. Serv. 17(6):464–477, 2010. doi: 10.1016/j.jretconser.2010.06.003.CrossRefGoogle Scholar
  28. 28.
    Hadwich, K., Georgi, D., Tuzovic, S., et al., Perceived quality of e-health services: A conceptual scale development of e-health service quality based on the C-OAR-SE approach. Int. J. Pharmaceut. Healthc. Market. 4(2):112–136, 2010. doi: 10.1108/17506121011059740.CrossRefGoogle Scholar
  29. 29.
    Odhiambo-Otieno, G. W., Evaluation criteria for district health management information systems: Lessons from the Ministry of Health. Kenya. Int. J. Med. Informat. 74(1):31–38, 2005. doi: 10.1016/j.ijmedinf.2004.09.003.CrossRefGoogle Scholar
  30. 30.
    Ramsaran-Fowdar, R. R., The relative importance of service dimensions in a healthcare setting. Int. J. Health Care Qual. Assur. 21(1):104–124, 2008. doi: 10.1108/09526860810841192.CrossRefGoogle Scholar
  31. 31.
    Rafe, V., and Monfaredzadeh, M., A qualitative framework to assess hospital/medical websites. J Med Syst., 2011. doi: 10.1007/s10916-011-9771-5.
  32. 32.
    Leem, C. S., and Yoon, Y. K., A maturity model and an evaluation system of software customers satisfaction: The case of software companies in Korea. Ind. Manag. Data Syst. 104(4):347–354, 2004. doi: 10.1108/02635570410530757.CrossRefGoogle Scholar
  33. 33.
    McDowell, S. W., Wahl, R., and Michelson, J., Herding cats: The challenges of EMR vendor selection. J Healthc Inf Manag. 17(3):63–71, 2003.Google Scholar
  34. 34.
    Brust, C., and Sarnikar, S., Decision modeling for healthcare enterprise IT architecture utilizing cloud computing. In Proceedings of the Americas Conference on Information Systems, August, 2011, Michigan, American, 2011.Google Scholar
  35. 35.
    Zadeh, L. A., Fuzzy sets. Inform. Control. 8:338–353, 1965.MathSciNetzbMATHCrossRefGoogle Scholar
  36. 36.
    Ordoobadi, S. M., Development of a supplier selection model using fuzzy logic. Supply Chain Manag. Int. J. 14(4):314–327, 2009. doi: 10.1108/13598540910970144.CrossRefGoogle Scholar
  37. 37.
    Saaty, T., How to make a decision: The analytic hierarchy process. Eur. J. Oper. Res. 48:9–26, 1990.zbMATHCrossRefGoogle Scholar
  38. 38.
    Kaufmann, A., and Gupta, M. M., Introduction to fuzzy arithmetic: Theory and applications. Van Nostrand Reinhold, New York, 1991.zbMATHGoogle Scholar
  39. 39.
    Lin, L. C., An integrated framework for the development of radio frequency identification technology in the logistics and supply chain management. Comput. Ind. Eng. 57(3):832–842, 2009. doi: 10.1016/j.cie.2009.02.010.CrossRefGoogle Scholar
  40. 40.
    Murray, T. J., Pipino, L. L., and Gigch, J. P., A pilot study of fuzzy set modification of Delphi. Hum. Syst. Manag. 5(1):76–80, 1985.Google Scholar
  41. 41.
    Elitzur, R., Gavious, A., and Wensley, A. K. P., Information systems outsourcing projects as a double moral hazard problem. Omega. 40:379–389, 2012. doi: 10.1016/j.omega.2011.06.005.CrossRefGoogle Scholar
  42. 42.
    Klir, G. J., and Yuan, B., Fuzzy sets and fuzzy logic: Theory and applications. Prentice Hall, New Jersey, 1995.zbMATHGoogle Scholar
  43. 43.
    Chen, C. F. and Wu, S., Cloud-based medical information sharing system to come on line. http://focustaiwan.tw/ShowNews/WebNews_Detail.aspx?Type=aALL&ID=201108070006 2011, Accessed 16 October 2011

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Industrial Engineering and ManagementNational Yunlin University of Science & TechnologyYunlinRepublic of China

Personalised recommendations