Health Information System
Promoting Action Design Research to create value in healthcare through IT
Recently there has been varying proof showing that health IT reduces costs while improving the standard of care offered. The same factors that had caused delays in reaping benefits from IT investment made in other sectors (i.e. time consuming procedural change) are also very common within the healthcare sector. Due to the current transitive nature of the Healthcare sector, new IT investment is likely not going to provide maximum value unless this new investment is backed up with a total reform of healthcare delivery. The overall ability of healthcare IT value researchers to add value to practice will be severely limited as a result of the traditional ex-post approach to measuring IT and the fact that government spurs significant investment. It may be risky to generalize or compare results from traditional IT value research with those from healthcare due to the difference between them. It is broadly accepted that the key to improved healthcare quality and reduced cost is Healthcare Information Technology (HIT) (Sherer, 2014). The idea of Knowledge Management (KM) as a probable solution to most of the problems confronting the U.S. And international healthcare systems has emerged. Safety concerns and quality of patient care, serious ineffectiveness, contrasting information principles technologies, rapidly growing costs and clinical information overload are some of these problems (Wills et al. 2010). Although still in its infancy and quite far from providing meaningful use, the potential of IT in healthcare is increasing. Subsequently, healthcare stakeholders like hospitals, medical practitioners, physicians, and consumers are faced with a myriad of concerns associated with IT use in healthcare. Thus, its enactment is a constant challenge for the healthcare sector (Palvia et al. 2012). I propose an action design research that uses existing theories as a base, but is adapted to fit the specific characteristics of the healthcare industry. By actively partaking in the design and appraisal of these new socio-technical systems, IT value researchers can generate sound theories to explain value creation in healthcare so that practice can be influenced (Sherer, 2014).
Introduction
The results reported by various industries such as banking and finance indicate that digitally automated client transaction and processing decades ago are very similar to those being reported today in healthcare. Several years were spent by IT researchers to determine how, why, and when value is generated from investments made in IT. This allowed IT researchers not to only have a firm grasp on how to properly study IT value, but to also have a solid body of knowledge about the dynamics that generate it (Kohli & Grover, 2008), especially the time-intensive process changes that are required. This extensive body of knowledge can therefore be of significance to IT value researchers who are well situated to use it to clarify how IT can be of value to the healthcare industry. However, there is a possibility that industry differences will influence how IT value is taken in the healthcare, this is because industry is a significant differentiator in IT research. Furthermore, the relevance of research approaches that focus on post-hoc analysis of former IT investments can neither be timely nor be able to influence healthcare now, when extensive investment incentives are stimulating adoption and industry change. Using traditional IT as a base, strategically positioned IT researchers studying the generation of value in healthcare can adapt it as necessary to account for the dissimilarities it has with the health industry. I argue that IT researchers must actively be involved in the design and assessment of the innovation that is currently underway in IT and multi-organizations. In order to proffer answers to the questions of how and what IT interventions can do to increase value to healthcare, it is necessary for researchers to adopt action design research approaches. (Sherer, 2014).
Statement and Analysis
Traditional IT Value Research and the Healthcare Industry
Under certain circumstances, research on IT value has shown that IT creates value, and firms do not appropriate all the generated value. This value manifests in various ways and at several organizational levels. A multiplicity of balancing organizational investments influence IT value. In Healthcare, there are a number of distinct differences that can influence conditions to drive value, the complementing elements, the mechanisms, which allow the value to be added, and the methods used to measure the value. Healthcare characterizes a remarkably different socio-technical context when compared with several industries where IT research is being conducted, and IS theories developed (e.g. transportation, manufacturing, financial services). Healthcare benefits through societal values like; improved living standard, public health, and lack of disease. In addition, traditional benefits like costs, choice, customer satisfaction, profitability still exist....
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