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1. ISSN: 2278 – 1323 International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012 Healthcare Information Technology Service Assessment: A Healthcare Leader Prospective Syed Murtuza Hussain BakshiAbstract: Analysis. The study revealed the basic outline about proper planning, justifiable investmentsInformation technology has evolved over the and training required to make Informationyears and comply its presence in all the Technology successful in the advancedindustrial sectors and healthcare is not an healthcare setup. Information Technologyexception. It has become more and more enables its services especially in patient care,necessary for every health care professional to administrative, operational areas and broughtuse a computer terminal at almost everydays positive attitude, employee satisfaction. Theworks. Information Technology is expected to healthcare leader should take initiatives,provide the staffs with various sets of facilitate for smooth progress and properinformation for decision making, reducing functioning of Information Technology enabledmedical errors and process time, cost advantage services in the hospital. The Informationwith better communication. As the healthcare Technology cannot bring its own results unlessmarket is getting more competitive and complex teamwork is needed. There are some sensitivethe hospital are taking help of Information areas like data privacy and Confidentiality,Technology as a prime tool to compete. The online information and electronic medicalpresent study focuses on the way healthcare record which are important and has to be keptdecision makers think and sense about confidentialInformation Technology enabled services at theirsetup. The Participants in the research were Key words: - Computers, Healthcare,senior management professionals who offer their Information Technology.full time services. The data was collectedthrough face to face interview and was analyzedthrough Interpretative Phenomenological 410 All Rights Reserved © 2012 IJARCET
ISSN: 2278 – 1323 International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012Introduction:Information and communication technology Over the past two decades, there has been atools are arguably the most rapidly growing dramatic increase in the use of informationsegment of the world ecosystem. The technology in service organizations. As thisdevelopment in the sector permeates every phenomenon is often cited as a driver of bothhuman activity; social, economic, cultural, economy-wide productivity growth, changes inreligious, political and healthcare (Idowu P et al, wage and salary prospective(Susan Athey and2008). Information technology has radically Scott Stern, 2002).In many industrializedchanged the way that many people work and countries of the world, there is a hugethink. Over the years, technology has touched a investment of resources into informationnew pinnacle and now it is not confined to technology in health care as a commitment todeveloped countries. Developing countries such providing the most efficient and effective healthas India have kept pace with the world in care services to their teeming populationmodern technology. Healthcare professionals (Griliches, Z., 1994).In the past decade, the riskcan no longer ignore the application of of medical errors has received increasinginformation technology in a broader spectrum scrutiny. The growing sophistication of(Neeraj Gour & Dhiraj Srivastava, 2010). computers and software should allowInformation and Communication technology has information technology to play a vital part inrevolutionized the way medicine is practiced and reducing that risk — by streamlining care,how healthcare information is documented, catching and correcting errors, assisting witharchived and retrieved at the point of care. While decisions, and providing feedback oninformation technology is facing challenges of performance (Ganapati Mudur, 2003).adoption, communication technology is strivingto create health information exchanges for The benefits of IT applications are First, IT oftenconnecting providers within multi-organization provides benefits through improvements inenvironments and across disparate geographical timeliness (for example, IT provides quickboundaries, using secure and fail-safe internet access to individual information as well asconnectivity for high speed data, voice and video information about products offered by ancommunication (Dr. Ajit K. Nagpal , 2011 ) . organization) and precision (products or information provided by the organization may be customized to individuals). While such quality 411 All Rights Reserved © 2012 IJARCET
ISSN: 2278 – 1323 International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012improvements may be reflected indirectly in settings. Additional steps could include financialeconomic quantities such as rising wages or incentives (e.g., payment policy or loans) andincreased willingness-to-pay for services (factors expanded efforts to standardize records formats,which may be confounded with price inflation in nomenclature, and communication protocols tothe context of productivity measurement), few enhance interoperability. However, any policy tostudies provide direct evidence about the role of stimulate further investment must be carefullyIT in increasing service sector productivity. considered because of the possibility ofSecond, IT is a “general purpose” technology, unintended consequences. Use of Informationand the productivity benefits from IT vary Technology in Healthcare, especially Electronicenormously, according to the specific Health Records can potentially improveapplication and the characteristics of the healthcare. However, worldwide the usage ofadopting organization (David, Paul, 1990) EHRs is limited and studies in developed countries like United States have shown thatInformation technology has the potential to electronic records systems have been slow toimprove the quality, safety, and efficiency of become part of the practices of the physicians.health care. Diffusion of IT in health care is To gain insight into the functioning of thegenerally low (varying, however, with the healthcare centers in rural India with respect toapplication and setting) but surveys indicate that use of information technology and theirproviders plan to increase their investments. fictiveness in healthcare delivery a survey wasDrivers of investment in IT include the promise done (Anant R Koppar, 2009 & Medpacof quality and efficiency gains. Barriers include Congressional report).the cost and complexity of IT implementation,which often necessitates significant work The enormous investments in Informationprocess and cultural changes. Certain Technology, the question of payoffs from IT hascharacteristics of the health care market— become increasingly important. Organizationsincluding payment policies that reward volume continue to question the benefits from ITrather than quality, and a fragmented delivery investments especially in conjunction withsystem— can also pose barriers to IT adoption. corporate initiatives such as business processGiven IT potential, both the private and public reengineering (BPR). Furthermore, the impact ofsectors have engaged in numerous efforts to technology on nonfinancial outcomes such aspromote its use within and across health care 412 All Rights Reserved © 2012 IJARCET
ISSN: 2278 – 1323 International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012customer satisfaction and quality is gaining Analysis. The study is restricted to hospital ofinterest (Sarv Devraj & Rajiv Kohli, 2000). Hyderabad and Secunderabad.MethodsThe study is exploratory and qualitative in Discussionnature as it focuses on the way healthcare The study revealed the followingdecision makers think and sense about All the respondents confirm a significantInformation Technology enabled services in impact of IT service in both personal andtheir healthcare setup. A structured interview professional life, they inveterate thatwas conducted for a sample of 50 which was Information Technology has made ataken using convenient sampling. The sample major difference to the Quality andwas taken from 30 hospitals that have bed Standards of living. Educating our self’sstrength more than 100 and corporate in nature with some of the common IT applications can make an individualThe Participants were senior management carry out any activity of your work lifeprofessionals like Vice President, Chief simpler and easier.Executive Officer, Chief Operating Officers,General Managers, Medical Superintendents and The respondents when asked about theSenior Administrator, who offer their full time healthcare systems, competition andservices within the hospitals and also involve in information technology raveled thedecision making in terms of IT planning, following statements. There is a risinginfrastructure development. A prior appointment awareness about the need for betterwas taken from the participants; they were healthcare in all the major cities of India.briefed about the study and encouraged to expel The demand for healthcare services isinformation relating to IT services assessment growing with the increasing affordabilityand their future areas of expansion, growth, of Indian middle class, new breed ofinvestment and improvement. patients with enhanced expectations forThe data was collected by face to face better quality of healthcare areinterview; the facts of assessment on IT services encountered, both patients and doctorswere recorded manually. After the recording are now exposed to internationalfrom the entire 50 participant data was analyzed healthcare setting, insurance playing athrough Interpretative Phenomenological 413 All Rights Reserved © 2012 IJARCET
ISSN: 2278 – 1323 International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012 key role, net savvy population, more number of independent hospitals have The respondents when asked about made the healthcare market more operational integration at various competent, complex and accessible. The department levels showed a varied major component that can give an edge response (fully integrated system) some in market and provide a better solution is of the hospital had a fully integrated sound IT support. Todays corporate system while others were not having a hospitals compete on the basis of the fully integrated system. But the hospital technology with investment in it being leaders believed that the IT applications the major benchmark. Technology in were user friendly and helpful. healthcare has brought better therapeutic & diagnostics delivery of services, The respondents when asked about prime integration to various components of goals of IT application in a hospital they large healthcare providing entity very revealed it to be Work process similar to that of any other sector like improvement, on time decision making manufacturing and banking sectors. efficiency, Shortening process time, Healthcare IT has huge potential as the reducing cost of transaction, Provide hospital are emerging, growing up and correct up-to-date and relevant healthcare workers want to upgrade. information about patient & Doctors schedule, better healthcare delivery, The respondents when asked about the employee satisfaction, patient current hospital management systems satisfaction, Effective management of raveled a mixed response. The cooperate resources, reducing medical errors and hospital that were taken as sample better performance for competitive showed that the IT application systems advantage were some of the prime goals. used at the hospital some of were as switch for the past 3 to 5 years before The respondents when asked about what that the operations were mainly manual, can be the success factors behind IT while others were using it for last 7 applications they said that to successfully years and all of them were having implement IT in a hospital proper backend support by the vendors. planning, justifiable investments, 414 All Rights Reserved © 2012 IJARCET
ISSN: 2278 – 1323 International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012 training, operational budget, oneness in organizational vision and healthcare vision and effective team work is participants who are associated at needed. different points of patient care. It is more of a team work. The respondents when asked about impact of IT applications they revealed The respondents when asked about that IT system has a positive impact on awareness and training programs it was patient care services, administrative and said that hospital promotes training for management services. The IT system was the existing employees as well as serving efficiently in the areas like fresher’s .The training programs are patient billing, appointment scheduling , provided by the software vendors, the hospital claims, pharmacy management, individuals who assist in tanning are medical records, inventory management , called as Application Specialist. vendor management, online support, Generally the training depends on interdepartmental communication and various factors like the previous payroll exposure of fresher to the technology, the operational knowledge of individual in When the sample was asked about the the domain area, the kind of software emerging areas apart from services of interface and for the existing employees EMR, PACS the other emerging and the training can be provided for enhanced thrust areas are Web based services ,E- or new application as well as online health, M-health, operational efficiency support. software integration, Clinical integration, wireless technology, personal health The healthcare leaders believe they act as records and telemedicine support for prime decision makers and are ruler India responsible for facilitating , acting as a change agents in healthcare IT setting. The respondent’s revealed that the The cost that is associated after the success of IT in a corporate hospital implementation is training cost and deepens on various factors like patient, operational cost which cannot be top management involvement, compared with intangible benefits the IT 415 All Rights Reserved © 2012 IJARCET
ISSN: 2278 – 1323 International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012 offers in operational efficiency and support helps the employees learn more and patient care. become more confident and helps in employee satisfaction. There are various critical areas that The healthcare leaders gave much cannot be ignored and special attention should importance to sensitive areas like Data be given to data privacy and confidentiality privacy and Confidentiality, e-health issues .Over all the healthcare IT is taking a new solutions, data integration and web shape in a non metro twin city of Hyderabad and enabled services. Secunderabad with intense competition from healthcare vendors and hospital. When the sample was asked about List of Abbreviations healthcare IT demerits they listed it as ever changing technology, no common BPR - Business Process Engineering platform between various business E-Health- Electronic Health partners, threats from web based hackers, data loss, system failures, more EHR- Electronic Health Record dependency on computers than IT - Information Technology individual, training complications and investment cost. IS- Information SystemsConclusions M- Health- Mobile HealthThe interview of healthcare leaders reveals that PHR- Patient health recordIT is considered as an important and corecomponent in providing services in both the PACS - Picture Archiving andprofessional and personal areas. As the market is Communication Systemsbecoming more complex and competent thehealthcare leaders believe that IT is going toplay an important role in competitive edge. TheIT applications have a positive impact in patientcare, administrative and decision support. Thesuccess of IT in a healthcare setup depends onthe involvement of healthcare participants andmanagement initiative. The training and online 416 All Rights Reserved © 2012 IJARCET
ISSN: 2278 – 1323 International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012 sional_reports%5CJune04_ch7.pdf (accessed during 10th February 2011) References1. Anant R Koppar,2009,” A Workflow Solution for 7. Neeraj Gour, Dhiraj Srivastava (2010). Electronic Health Records to Improve Healthcare Knowledge of Computer among Healthcare Delivery in Rural India, hospital and health Professionals of India: A Key toward e-Health. management Telemedicine and e-Health, 16(9): 957-962. http://www.hhmglobal.com/knowledge- bank/articles/a-workflow-solution-for-electronic- 8. National IT Backbone for Healthcare by Dr. Ajit health-records-to-improve-healthcare-delivery-in- K. Nagpal Chairman Executive Council ,Batra rural-india (accessed on 17th February 2011). Hospital & Medical Research Center, New Delhi http://www.ehealthonline.org/articles/article-2. David, Paul (1990), “The Dynamo and the details.asp Computer: An Historical Perspective on the Title=National20IT20Backbone20for20Healthcar Modern Productivity Paradox,” American e&ArticalID=2355&Type=COLUMNS (accessed Economic Review 80(2): 355-361 on 11th January 2011)3. Ganapati Mudur (2003). India plans to expand 9. Sarv Devraj, Rajiv Kohli (2000), “Information private sector in healthcare review, British Technology Payoff In The Health-Care Industry: Medical Journal (BMJ), 326(7388): 520 A Longitudinal Study” Journal of Management Information Systems - Special issue: Impacts of4. Griliches, Z., 1994, “Productivity, R&D, and the information technology investment on data constraint,” American Economic Review organizational performance, Volume 16 Issue 4 84(1): 1-23 10. Susan Athey and Scott Stern (2002), "The Impact5. Idowu P., Cornford D., Bastin L. (2008). Health Of Information Technology On Emergency informatics deployment in Nigeria. Journal of Health Care Outcomes," Rand Journal of Health Informatics in Developing Countries, Economics, v33(3,Autumn), 399-432 2(1), 15-236. Medpac congressional report http://www.medpac.gov/publications%5Ccongres 417 All Rights Reserved © 2012 IJARCET
ISSN: 2278 – 1323International Journal of Advanced Research in Computer Engineering & Technology Volume 1, Issue 4, June 2012 Correspondence: Syed Murtuza Hussain Bakshi Vice Principal & Associate Professor Address: Deccan School of Management Department of hospital management, Owaisi Hospital and Research Center, DMRL cross road, Kanchan bagh Hyderabad, 500058 Email: email@example.com 418 All Rights Reserved © 2012 IJARCET
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