Embracing the Principles of Knowledge Management to Structure a Superior IT Healthcare Paradigm

  • Nilmini WickramasingheEmail author
  • James Choi
  • Jonathan L. Schaffer
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)


The healthcare system in the United States has been noted as being significantly more costly than any other OECD country. Moreover, while the use of healthcare services in the United States is below the OECD median by most measures, it is predicted that its healthcare costs will be over 20% of GDP before 2020. Given this, most experts are in agreement that the current healthcare system is in crisis. In response to this alarming and unacceptable situation, the Obama administration, as with previous administrations, made healthcare reform a priority with information communication technology (ICT) solutions as a vital enabler for superior healthcare delivery.

When one looks at the proliferation of ICT throughout the business environment, an unmistakable consequence has been the exponentially increasing amount of data and information generation. Although these technologies were implemented to enhance and facilitate superior decision-making, what is seen is information chaos and information overload, the productivity paradox. This chapter alerts us to the risk healthcare organizations run if they simply follow the example of ICT implementations in the wider business environment and just automate without addressing critical issues regarding people and processes.

Thus, the following serves to outline how to integrate key management theories such as the tools, technologies, tactics, and techniques of knowledge management in order to design a network-centric perspective for healthcare delivery. This new network-centric paradigm is essential to provide a robust technology infrastructure capable of enabling seamless transfer of necessary healthcare information to whom it is needed and when it is needed such that superior patient-focused healthcare delivery ensues and the US healthcare system can indeed harness the full potential of ICT.


Knowledge management Information Data Healthcare Healthcare management Boyd OODA loop Healthcare operations Healthcare doctrine Healthcare policy Global healthcare e-Health Network-centric healthcare Healthcare technology ICT Germane knowledge Information asymmetry 



Rajeev K Bali for his helpful insights on early drafts of this chapter.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Nilmini Wickramasinghe
    • 1
    • 2
    Email author
  • James Choi
    • 3
  • Jonathan L. Schaffer
    • 2
    • 4
  1. 1.Health Informatics Management UnitEpworth HealthCareRichmondAustralia
  2. 2.Faculty of HealthDeakin UniversityMelbourneAustralia
  3. 3.Yale UniversityNew HavenUSA
  4. 4.Cleveland ClinicClevelandUSA

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