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eHealth Governance in Scotland: A Cross-Sectoral and Cross-National Comparison

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Abstract

This study is built on the proposition that alignment between business and information technology (IT) through eHealth governance has a positive effect on healthcare performance and effectiveness. We present some theoretical foundations and the outcome of healthcare organization case studies in Scotland, comparing and contrasting the situation of eHealth governance with IT governance in other industry sectors and countries. This study is a contribution towards a better understanding of how IT governance is happening. We propose practical recommendations for healthcare executives to optimize eHealth governance decisions on a broad range of issues and opportunities that information and related technologies offer to healthcare professionals, patients, relatives and carers.

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Notes

  1. 1.

    The UK has four home countries which each has its own national health service for which it is independently responsible.

  2. 2.

    These are Office Communication Systems other than traditional phone systems (i.e. instant messaging, voice or video over Internet protocol).

  3. 3.

    While most of the practices identified are described briefly, in some cases only useful citations are referenced as these are common concepts broadly documented and embedded in the business management and IT fields.

  4. 4.

    NHS Data Standards and Products is part of the NHS Connecting for Health (www.connectingforhealth.nhs.uk).

  5. 5.

    SNOMED CT—Systematized Nomenclature of Medicine Clinical Terms (www.connectingforhealth.nhs.uk).

  6. 6.

    In the LEAN context, waste is referred to as any activity that consumes resources but creates no value. LEAN means creating more value for customers with fewer resources.

References

  • Applegate LM et al. (2003) Corporate information strategy and management: the challenges of managing in a network economy. McGraw-Hill/Irwin, New York

    Google Scholar 

  • Beimborn D, Franke J, Wagner H, Weitzel T (2007) The influence of alignment on the PostImplementation success of a core banking information system: An embedded case study. In: Hawaii International Conference on System Sciences 8, Hawaii, 4 3922

    Google Scholar 

  • Beratarbide E (2008) Critical factors in the adaptation of NHS to the information society in Fife: an initial causal model. PhD report/hearing, Spain

    Google Scholar 

  • Beratarbide E (2010a) Critical factors in the adaptation of the NHS in Scotland: a causal model. Scotland: NHS Fife. NHS Fife

    Google Scholar 

  • Beratarbide E (2010b) Critical factors in the adaptation of the national health service (NHS) to the information society in Fife, Scotland. Paper presented at the IADIS International Conference eHealth 2010, Germany

    Google Scholar 

  • Beratarbide E (2010c) Critical factors in the adaptation of the NHS to the information society in Fife, Scotland: A multicase analysis of the eHealth governance factor. Paper presented at the IADIS International Conference eHealth 2010, Germany

    Google Scholar 

  • Bernroider EHA (2005) Enterprise resource planning and IT governance in perspective: Strategic planning and alignment, value delivery and controlling. Paper presented at the Fifth International Conference on Electronic Business (ICEB 2005), Hong Kong, China. 306–308

    Google Scholar 

  • Bowen P, Cheung M, Rohde F (2007) Enhancing IT governance practices: a model and case study of an organization’s efforts. Int J Account Inform Syst 8(3):191–221

    Article  Google Scholar 

  • Brown A, Grant G (2005) Framing the frameworks: a review of IT governance research. Comm Assoc Inform Syst 15:696–712

    Google Scholar 

  • Castells M (2005) La era de la información. Alianza Editorial, Madrid

    Google Scholar 

  • Chan Y, Reich B (2007) IT alignment: What have we learned? J Inform Tech 22(4):297–315

    Article  Google Scholar 

  • Cumps B, Viaene S, Dedene G, Vandenbulcke J (2006) An empirical study on Business/ICT alignment in European organizations. Hawaii Int Conf Syst Sci 39:195

    Google Scholar 

  • Datasec and NHS Fife (2009) eHealth demonstrator project for IT governance. Scottish Executive, Edinburgh

    Google Scholar 

  • De Haes S (2008) Practices in IT governance and Business/IT alignment. Information System Control Journal (Volume 2) USA

    Google Scholar 

  • Department of Health (2004) The NHS knowledge and skills framework (NHS KSF) and the development review process (October 2004): Department of Health - publications (http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4090843). UK: Crown

  • Evans N (2004) Promoting fusion in the business-IT relationship. Issues Inform Sci Inform Technol:303–312

    Google Scholar 

  • Farbey B, Land F, Targett D (1993) How to assess your IT investment: A study of methods and practice. Oxford: Butterworth-Heinemann

    Google Scholar 

  • Henderson JC, Venkatraman N (1996) In: Oldach S (ed) Aligning business and IT strategies. Oxford University Press, New York

    Google Scholar 

  • instiLink Team (2008) National survey finds information tech and business alignment a struggle for American companies. E! Science News

    Google Scholar 

  • IT governance Institute (2007) COBIT 4.1 ISACA

    Google Scholar 

  • ITGI (2004) IT governance global status report 2004

    Google Scholar 

  • ITGI (2008) IT governance global status Report—2008 (Report No. 978-1-60420-064-5)

    Google Scholar 

  • Keyes-Pearce SV (2002) Rethinking the importance of IT governance in the e-world. In Proceedings of the 6th Pacific Asia Conference on Information Systems. Tokyo, Japan, pp. 256–272

    Google Scholar 

  • Krey M, Harriehausen B, Knoll M, Furnell S (2010) IT governance and its spread in Swiss hospitals. Paper presented at the Proceeding of the IADIS International Conference e-Health 2010, Germany

    Google Scholar 

  • Luftman J (1996) Competing in the information age: strategic alignment in practice. Oxford University Press, New York

    Google Scholar 

  • Luftman J (2000) Assessing business-IT alignment maturity. Commun AIS 4(14)

    Google Scholar 

  • Marshall P, Mckay J (2003) Abstract steps towards effective IT governance steps towards effective IT governance: Strategic IT planning, evaluation and benefits management

    Google Scholar 

  • Pagliari C (2005) What is eHealth (4): A scoping exercise to map the field. J Med Internet Res

    Google Scholar 

  • Patel N (2003) Health informatics governance: researching deferred IS/IT mechanisms. 7.

    Google Scholar 

  • Premkumar GP (2000) Interorganization systems and supply chain management: An information processing perspective. Inform Syst Manag 17(3):1

    Article  Google Scholar 

  • Samarth C (2007) IT adoption in hospitals: social networking, governance and the clockspeed of change. (http://dspace.mit.edu/handle/1721.1/39502?show=full, Massachusetts Institute of Technology). Massachusetts Institute of Technology, 1–155. Retrieved from http://dspace.mit.edu/handle/1721.1/7582

  • Schwarz A, Hirschheim R (2003) An extended platform logic perspective of IT governance: managing perceptions and activities of IT. J Strateg Inf Syst 12(2):129–66

    Article  Google Scholar 

  • Scottish Government e. P (2009) eHealth demonstrator project of IT governance at NHS in Scotland. Scotland, UK: NHS Scotland annual conference 2009. Retrieved from http://www.nhsslearning2009.scot.nhs.uk/poster-gallery.aspx

  • Serafeimidis V, Smithson S (2000) Information system evaluation in practice: a case study of organizational change. J Inf Technol 15(2):93–105

    Article  Google Scholar 

  • Shaffer V, Rowsell-Jones A, Runyon B (2007) The state of IT governance in healthcare delivery organizations and how to make it better No. G00148215). Internet: Gartner

    Google Scholar 

  • Shamekh FR (2008) Business-IT strategic alignment concept in theory and practice. Technology (2008): 1–66

    Google Scholar 

  • Silvius A (2007) Exploring differences in the perception of business and IT alignment. Commun IIMA 7(2)

    Google Scholar 

  • Sledgianowski D, Luftman J (2005) IT-business strategic alignment maturity a case study. J Cases Inform Tech 7(2):102–120. doi:10.4018/jcit.2005040107

    Article  Google Scholar 

  • Smaltz D, Carpenter R, Saltz J (2007) Effective IT governance in healthcare organisations: a tale of two organisations. Int J Healthcare Technol Manag 8(1/2):20–41, doi:10.1504/IJHTM.2007.012106

    Article  Google Scholar 

  • Steuperaert D (2004) IT governance global status report 2004. Inform Syst Control J 5, pp 1–3

    Google Scholar 

  • Steuperaert D (2008) IT governance global status report 2008. Inform Syst Control J 3 pp 1–2

    Google Scholar 

  • Tan W, Cater-Steel A, Toleman M, Seaniger R (2007) Implementing centralised IT service management: Drawing lessons from the public sector. In: ACIS 2007 18th Australasian Conference on Information Systems: the 3 Rs: Research, Relevance and Rigour - Coming of Age, 05-07 Dec 2007, Toowoomba, Australia

    Google Scholar 

  • Vandenbulcke J, Cumps B, Viaene S, Dedene G (2006) An empirical study on Business/ICT alignment in European organisations. Hawaii Int Conf Syst Sci 39:195

    Google Scholar 

  • Velez L, Rebuge A, Silva M, Gomes R (2009) ITIL assessment in a healthcare environment: The role of IT governance at hospital são sebastião. Paper presented at the Medical Informatics in a United and Healthy Europe - Proceedings of MIE 2009—the XXIInd International Congress of the European Federation for Medical Informatics, 150. doi:10.3233/978-1-60750-044-5-76

    Google Scholar 

  • Watters D (2004) IBM strategy and change: a survey of fortune 1000 CIOs. Paper presented at SHARE August 17, 2004, New York

    Google Scholar 

  • Willcocks L (1992) Evaluating information technology investments: Research findings and reappraisal. Inform Syst J 2(4):243–268, October 1992

    Article  Google Scholar 

  • Womack JP, Pl J, Jones D (2003) Lean thinking banish waste and create wealth in your corporation. Free Press, Simon & Schuster, New York

    Google Scholar 

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Correspondence to Elena Beratarbide .

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Appendix A. Annex

Appendix A. Annex

The column “Scope” in Table 13.2 indicates the number of organizations included in the study.

Table 13.2 Sources consulted to compare the situation of IT governance across industry sectors and countries

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Beratarbide, E., Kelsey, T. (2013). eHealth Governance in Scotland: A Cross-Sectoral and Cross-National Comparison. 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_13

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