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Ski hill injuries and ghost charts: Socio-technical issues in achieving e-Health interoperability across jurisdictions

Author

Listed:
  • Ellen Balka

    (Simon Fraser University)

  • Sandra Whitehouse

    (BC Children’s Hospital)

  • Shannon T. Coates

    (Simon Fraser University Surrey)

  • Dug Andrusiek

    (University of British Columbia)

Abstract

This paper looks at the challenges associated with consolidating and leveraging patient information recorded at various points in a distributed, multi-jurisdictional health care system. We draw on insights from two ethnographic case studies to illuminate varied issues related to interoperability of information management systems. Our first case study is an investigation of duplicate medical charts which exist in several ambulatory care clinics located on the same campus at an acute care hospital. The second case study is an ongoing exploratory project intended to develop an understanding of information collection, storage and handover procedures in the pre-hospital care chain, a health care domain that includes varied actors and organizations with different information needs. Whereas findings from our case studies show that achievement of interoperability will be difficult, our analysis suggests ways to begin to overcome these challenges.

Suggested Citation

  • Ellen Balka & Sandra Whitehouse & Shannon T. Coates & Dug Andrusiek, 2012. "Ski hill injuries and ghost charts: Socio-technical issues in achieving e-Health interoperability across jurisdictions," Information Systems Frontiers, Springer, vol. 14(1), pages 19-42, March.
    • Handle: RePEc:spr:infosf:v:14:y:2012:i:1:d:10.1007_s10796-011-9302-4
    DOI: 10.1007/s10796-011-9302-4
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    References listed on IDEAS

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    1. Susan Leigh Star & Karen Ruhleder, 1996. "Steps Toward an Ecology of Infrastructure: Design and Access for Large Information Spaces," Information Systems Research, INFORMS, vol. 7(1), pages 111-134, March.
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    Cited by:

    1. Paul Glowalla & Ali Sunyaev, 2013. "Process-Driven Data Quality Management Through Integration of Data Quality into Existing Process Models," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 5(6), pages 433-448, December.
    2. Jens Weber-Jahnke & Liam Peyton & Thodoros Topaloglou, 2012. "eHealth system interoperability," Information Systems Frontiers, Springer, vol. 14(1), pages 1-3, March.
    3. Chulhwan Chris Bang, 2015. "Information systems frontiers: Keyword analysis and classification," Information Systems Frontiers, Springer, vol. 17(1), pages 217-237, February.
    4. Jun Sun & Zhe Qu, 2015. "Understanding health information technology adoption: A synthesis of literature from an activity perspective," Information Systems Frontiers, Springer, vol. 17(5), pages 1177-1190, October.

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