Health IT;
System implementation;
Stakeholders;
Collaboration;
Case study;
INFORMATION-TECHNOLOGY;
IS/IT IMPLEMENTATION;
CARE;
MODEL;
RESISTANCE;
MULTILEVEL;
BENEFITS;
ADOPTION;
SYSTEMS;
D O I:
10.1016/j.bushor.2009.10.005
中图分类号:
F [经济];
学科分类号:
02 ;
摘要:
The application of information technology to healthcare promises significant benefits, particularly with regard to innovations in improving both clinical and administrative processes. However, to date, few studies have been devoted to understanding the process of implementing a hospital's clinical and business systems and the drivers of success. In this article, we describe a major HIT implementation undertaken by The Christ Hospital (TCH). Specifically, we report on TCH's efforts to separate from a well-established, multi-facility healthcare delivery network and move toward providing world-class patient care on its own. Here, we examine how different stakeholder perspectives, rather than causing conflict, were capitalized on via a collaboration-intensive process. These stakeholders included administrators, physicians, nurses, and other hospital staff, as well as external vendors and TCH's consulting partner. This project is unique due to the speed and spirit of collaboration with which it was accomplished. Our findings have a number of generalizable lessons for practice and implications for research. (C) 2009 Kelley School of Business, Indiana University. All rights reserved.
机构:
University of St. Gallen,Centre for Digital Health Interventions, School of MedicineUniversity of St. Gallen,Centre for Digital Health Interventions, School of Medicine
Estelle Pfitzer
Odile Giger
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MTIP AG,Centre for Digital Health Interventions, Institute for Implementation Science in Health CareUniversity of St. Gallen,Centre for Digital Health Interventions, School of Medicine
Odile Giger
Christoph Kausch
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University of St. Gallen,Centre for Digital Health Interventions, School of MedicineUniversity of St. Gallen,Centre for Digital Health Interventions, School of Medicine
Christoph Kausch
Tobias Kowatsch
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MTIP AG,Centre for Digital Health Interventions, Institute for Implementation Science in Health CareUniversity of St. Gallen,Centre for Digital Health Interventions, School of Medicine
机构:
Univ Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Raeside, Rebecca
Todd, Allyson
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Univ Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Todd, Allyson
Sim, Kyra A.
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Sydney Local Hlth Dist, Metab & Obes Serv, Sydney, NSW, Australia
Univ Sydney, Charles Perkins Ctr, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Sim, Kyra A.
Kang, Melissa
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Univ Sydney, Fac Med & Hlth, Gen Practice Clin Sch, Sydney Med Sch, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Kang, Melissa
Mihrshahi, Seema
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Macquarie Univ, Fac Med Hlth & Human Sci, Dept Hlth Sci, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Mihrshahi, Seema
Gardner, Lauren A.
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Univ Sydney, Matilda Ctr Res Mental Hlth & Subst Use, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Gardner, Lauren A.
Champion, Katrina E.
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Skinner, John
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Heart Res Inst, Djurali Ctr Aboriginal & Torres Strait Islander Hl, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Skinner, John
Laranjo, Liliana
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Univ Sydney, Fac Med & Hlth, Westmead Appl Res Ctr, Westmead, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Laranjo, Liliana
Steinbeck, Katharine
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Univ Sydney, Fac Med & Hlth, Westmead Clin Sch, Specialty Child & Adolescent Hlth, Sydney, NSW, AustraliaUniv Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
Steinbeck, Katharine
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Redfern, Julie
Partridge, Stephanie R.
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Univ Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
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