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Developing and implementing a patient-centered IT strategy.

Eileen B Malone, Richard G Kirchbdoerfer, Ann Wolford-Connors

    Journal of Healthcare Information Management : JHIM
    |July 28, 2005
    PubMed
    Summary
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    The Army Medical Department (AMEDD) implemented a patient-centered IT strategy to improve healthcare information systems. This approach links clinical, administrative, and business functions for better decision-making and patient care.

    Area of Science:

    • Health Informatics
    • Healthcare Management
    • Information Technology Strategy

    Background:

    • The Army Medical Department (AMEDD) operates a large, integrated global healthcare system serving 2.4 million beneficiaries.
    • Effective information management and IT are critical for supporting complex healthcare operations and strategic decisions.

    Purpose of the Study:

    • To describe the development and implementation of a patient-centered, enterprise-wide information management and IT strategy within the AMEDD.
    • To outline a model for organizing healthcare activities and linking leaders to information systems across clinical, administrative, business, and support functions.

    Main Methods:

    • A patient-centered model was used to structure and connect healthcare activities and leadership.
    • A refined strategic alignment model was applied to define clinical, business, and IT goals and infrastructure needs.

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  • Patient and process outcome measures, linked to the AMEDD's Balanced Score Card, were utilized for IT strategy execution management.

    • Main Results:

    • The AMEDD successfully developed and began implementing a comprehensive IT strategy focused on patient-centered care.
    • The strategic alignment and patient-centered models provided a framework for identifying goals and necessary infrastructure investments.
    • Outcome measures facilitated the management and execution of the IT strategy.

    Conclusions:

    • A patient-centered IT strategy, supported by robust models and outcome measures, can effectively guide information systems and infrastructure decisions in large healthcare organizations.
    • The described approach demonstrates a systematic method for aligning IT initiatives with clinical and business objectives to enhance healthcare delivery.
    • The outpatient care example illustrates the practical application of these tools in developing and executing a patient-centered IT strategy.