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Mind the Gap: Assessing Alignment between Hospital Quality and its Information Systems

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  • João Barata
  • Paulo Rupino da Cunha
  • Ana Paula Melo Santos

Abstract

We present a method to assess how aligned hospital information systems (HIS) are with quality standards adopted by the organization. Canonical action research is our mode of inquiry, in a district hospital implementing multiple certification standards. We build on the “ground-truth” provided by healthcare professionals to identify risks and opportunities for HIS developments while contributing to their awareness of its implications. We address different categories of design-reality gaps, namely the organizational, service, process, and individual. The findings suggest that HIS compliance should address five interrelated dimensions of context, people, processes, IT, and information/data. The proposed method allows self-evaluation through gap analysis and a comprehensive assessment of hospital quality, integrating HIS and healthcare processes. Moreover, it supports multiple quality models in hospitals and the development of heterogeneous HIS solutions in different maturity stages. HIS developments should be a priority for hospital quality worldwide; especially in the emerging economies that require methods accessible to their resources, standards compliance, and demographic demands for healthcare.

Suggested Citation

  • João Barata & Paulo Rupino da Cunha & Ana Paula Melo Santos, 2018. "Mind the Gap: Assessing Alignment between Hospital Quality and its Information Systems," Information Technology for Development, Taylor & Francis Journals, vol. 24(2), pages 315-332, April.
    • Handle: RePEc:taf:titdxx:v:24:y:2018:i:2:p:315-332
    DOI: 10.1080/02681102.2016.1197173
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    References listed on IDEAS

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    3. Antonio Almuedo-Paz & Diego Nunez-Garcia & Victor Reyes-Alcazar & Antonio Torres-Olivera, 2012. "The ACSA Accreditation Model: Self-Assessment as a Quality Improvement Tool," Chapters, in: Mehmet Savsar (ed.), Quality Assurance and Management, IntechOpen.
    4. DonHee Lee, 2012. "Implementation of quality programs in health care organizations," Service Business, Springer;Pan-Pacific Business Association, vol. 6(3), pages 387-404, September.
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