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How do integrated delivery systems adopt and implement clinical information systems?

Bryan J Weiner1, Lucy A Savitz, Shulamit Bernard

  • 1Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. bryan_weiner@unc.edu

Health Care Management Review
|March 3, 2004
PubMed
Summary

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Integrated delivery systems

Area of Science:

  • Health Informatics
  • Healthcare Management
  • Information Systems Research

Background:

  • Clinical information systems (CIS) are crucial for modern healthcare delivery.
  • Understanding the decision-making and implementation processes of CIS is vital for successful adoption.
  • Integrated delivery systems (IDS) present unique challenges and opportunities in CIS implementation.

Purpose of the Study:

  • To investigate the decision-making and implementation processes of clinical information systems within five integrated delivery systems.
  • To identify common themes and influencing factors in CIS adoption and implementation.
  • To explore the impact of organizational context and IT characteristics on these processes.

Main Methods:

  • Employed case study methodology across five distinct integrated delivery systems.

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  • Conducted in-depth analysis of decision-making and implementation phases for clinical information systems.
  • Identified and analyzed general themes emerging from the case studies.

    • Main Results:

    • Organizational context factors significantly influence the adoption and implementation of clinical information systems.
    • Information technology characteristics play a key role in the success or failure of CIS implementation.
    • Identified several general themes related to governance, stakeholder engagement, and change management in CIS projects.

    Conclusions:

    • Successful clinical information system implementation hinges on a nuanced understanding of organizational context.
    • Tailoring IT characteristics to the specific needs and environment of integrated delivery systems is essential.
    • Further research should explore specific strategies for optimizing CIS adoption within complex healthcare networks.