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2016 | OriginalPaper | Buchkapitel

6. An Empirical Investigation of the Impact of Information Technology Integration in Healthcare Integrated Delivery Systems

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Abstract

Healthcare alliance networks, also known as integrated delivery systems (IDSs), have developed rapidly in the US. Yet, research has not kept pace. This study examines two interrelated needs of healthcare alliance network research—the value of information technology (IT) integration for the IDS and the value of IT integration for the participating hospitals. Hypotheses are developed that relate IT integration to quality and performance outcomes at both the IDS level and at the hospital level. In addition, a taxonomy of hospitals is developed based on size; and the value of IDS IT integration is examined for each hospital quartile. The results of the study suggest that IT integration does indeed have a significant impact on performance in the healthcare industry. In addition, the results suggest that the performance improvements realized at the IDS level of analysis do not extend equally to all hospitals in the IDS.

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Literatur
Zurück zum Zitat Al-Mashari M, Zairi M (2000) Creating a fit between BPR and IT infrastructure: a proposed framework for effective implementation. Int J Flex Manuf Syst 12(4):253–274CrossRef Al-Mashari M, Zairi M (2000) Creating a fit between BPR and IT infrastructure: a proposed framework for effective implementation. Int J Flex Manuf Syst 12(4):253–274CrossRef
Zurück zum Zitat Alter C, Hage J (1993) Organizations working together. Sage, Newbury Park Alter C, Hage J (1993) Organizations working together. Sage, Newbury Park
Zurück zum Zitat Baroudi JJ, Orlikowski WJ (1989) The problem of statistical power in MIS research. MIS Quarterly 13(1):87–106CrossRef Baroudi JJ, Orlikowski WJ (1989) The problem of statistical power in MIS research. MIS Quarterly 13(1):87–106CrossRef
Zurück zum Zitat Barua A, Kriebel CH, Mukhopadhyay T (1995) Information technologies and business value: an analytic and empirical investigation. Inform Syst Res 6(1):3–23CrossRef Barua A, Kriebel CH, Mukhopadhyay T (1995) Information technologies and business value: an analytic and empirical investigation. Inform Syst Res 6(1):3–23CrossRef
Zurück zum Zitat Bates DW (2002) The quality case for information technology in health care. BMC Med Inform Decis Making 2(7):1–9 Bates DW (2002) The quality case for information technology in health care. BMC Med Inform Decis Making 2(7):1–9
Zurück zum Zitat Beaudoin D, Bogaert M (2003) Measuring return on investment. HCT Project 119–122 Beaudoin D, Bogaert M (2003) Measuring return on investment. HCT Project 119–122
Zurück zum Zitat Byrd TA, Turner DE (2000) Measuring the flexibility of information technology infrastructure: exploratory analysis of a construct. J Manage Inform Syst 17(1):167–208 Byrd TA, Turner DE (2000) Measuring the flexibility of information technology infrastructure: exploratory analysis of a construct. J Manage Inform Syst 17(1):167–208
Zurück zum Zitat Byrd TA, Thrasher ET, Lang T, Davidson N (2005) A process-oriented perspective of IS success: examining the impact of IS on operational cost. Omega 34(5):448–460CrossRef Byrd TA, Thrasher ET, Lang T, Davidson N (2005) A process-oriented perspective of IS success: examining the impact of IS on operational cost. Omega 34(5):448–460CrossRef
Zurück zum Zitat Chin WW (2001) PLS Graph User’s Guide: Version 3.0. Soft Modeling, Inc. Chin WW (2001) PLS Graph User’s Guide: Version 3.0. Soft Modeling, Inc.
Zurück zum Zitat Cohan J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, Hillsdale Cohan J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, Hillsdale
Zurück zum Zitat Conrad DA, Shortell SM (1997) Integrated health systems: promise and performance. In: Conrad DA (ed) Integrated delivery systems: creation, management, and governance. Health Administration, Chicago Conrad DA, Shortell SM (1997) Integrated health systems: promise and performance. In: Conrad DA (ed) Integrated delivery systems: creation, management, and governance. Health Administration, Chicago
Zurück zum Zitat Deluca JM, Enmark R (2002) The CEO’s guide to health care information systems. Wiley, San Francisco Deluca JM, Enmark R (2002) The CEO’s guide to health care information systems. Wiley, San Francisco
Zurück zum Zitat Devaraj JM, Kohli R (2000) Information technology payoff in the health-care industry: a longitudinal study. J Manage Inform Syst 16(4):41–67CrossRef Devaraj JM, Kohli R (2000) Information technology payoff in the health-care industry: a longitudinal study. J Manage Inform Syst 16(4):41–67CrossRef
Zurück zum Zitat Dowling WL (1997) Strategic alliances as a structure for integrated delivery systems. In: Conrad DA (ed) Integrated delivery systems: creation, management, and governance. Health Administration, Chicago Dowling WL (1997) Strategic alliances as a structure for integrated delivery systems. In: Conrad DA (ed) Integrated delivery systems: creation, management, and governance. Health Administration, Chicago
Zurück zum Zitat Enthoven AC, Tollen LA (2005) Competition in healthcare: it takes systems to pursue quality and efficiency. Health Affairs W5:420–433 Enthoven AC, Tollen LA (2005) Competition in healthcare: it takes systems to pursue quality and efficiency. Health Affairs W5:420–433
Zurück zum Zitat Etchen LL, Boulton JL (2000) Designing the IDS business portfolio. Healthcare Financial Management 29–33 Etchen LL, Boulton JL (2000) Designing the IDS business portfolio. Healthcare Financial Management 29–33
Zurück zum Zitat Friedman L, Goes J (2001) Why integrated health networks have failed. Front Health Serv Manage 17(4):3–28 Friedman L, Goes J (2001) Why integrated health networks have failed. Front Health Serv Manage 17(4):3–28
Zurück zum Zitat Friedman CP, Wyatt JC (1997) Evaluation methods in medical informatics. Springer, New YorkCrossRef Friedman CP, Wyatt JC (1997) Evaluation methods in medical informatics. Springer, New YorkCrossRef
Zurück zum Zitat Gefen D, Straub D (2005) A practical guide to factorial validity using PLS-graph: tutorial and annotated example. Commun Assoc Inform Syst 16:91–109 Gefen D, Straub D (2005) A practical guide to factorial validity using PLS-graph: tutorial and annotated example. Commun Assoc Inform Syst 16:91–109
Zurück zum Zitat Hair JP Jr, Anderson RE, Tatham RL, Black WC (1998) Multivariate data analysis. Prentice-Hall, Upper Saddle River Hair JP Jr, Anderson RE, Tatham RL, Black WC (1998) Multivariate data analysis. Prentice-Hall, Upper Saddle River
Zurück zum Zitat Hamilton C, Jacob JM, Koch S, Quammen RL (2004) Automate best practices with electronic healthcare records. Nurs Manage 35(2):40E–40FCrossRef Hamilton C, Jacob JM, Koch S, Quammen RL (2004) Automate best practices with electronic healthcare records. Nurs Manage 35(2):40E–40FCrossRef
Zurück zum Zitat Hinkin TR (1995) A review of scale development practices in the study of organizations. J Manage 21(5):967–988 Hinkin TR (1995) A review of scale development practices in the study of organizations. J Manage 21(5):967–988
Zurück zum Zitat Hsiao RL, Ormerod RJ (1998) A new perspective on the dynamics of information technology-enabled strategic change. Inform Syst J 8:21–52CrossRef Hsiao RL, Ormerod RJ (1998) A new perspective on the dynamics of information technology-enabled strategic change. Inform Syst J 8:21–52CrossRef
Zurück zum Zitat Kaplan B, Brennan PF, Dowling WL, Friedman CP, Peel V (2001) Toward an informatics research agenda: key people and organizational issues. J Am Med Inform Assoc 8(3):235–241CrossRef Kaplan B, Brennan PF, Dowling WL, Friedman CP, Peel V (2001) Toward an informatics research agenda: key people and organizational issues. J Am Med Inform Assoc 8(3):235–241CrossRef
Zurück zum Zitat Kilbridge PM (1998) The role of information systems in IDS-physician relationships. Healthc Financ Manage 52(6):31–34 Kilbridge PM (1998) The role of information systems in IDS-physician relationships. Healthc Financ Manage 52(6):31–34
Zurück zum Zitat Killian RW (1999) Providers eye integration to improve care, lower costs. Manag Health 9(5):36–37 Killian RW (1999) Providers eye integration to improve care, lower costs. Manag Health 9(5):36–37
Zurück zum Zitat Kim YK (2000) An impact of integrated delivery system on hospital financial and quality performance under managed care. Dissertation. Kim YK (2000) An impact of integrated delivery system on hospital financial and quality performance under managed care. Dissertation.
Zurück zum Zitat Knoedler J (2003) IT integration transforms the care continuum. Nurs Manage 34:8–10CrossRef Knoedler J (2003) IT integration transforms the care continuum. Nurs Manage 34:8–10CrossRef
Zurück zum Zitat Lapiedra R, Smithson S, Alegre J, Chiva R (2004) Role of information systems on the business network formation process: an empirical analysis of the automotive sector. J Enterp Inform Manag 17(3):219–228CrossRef Lapiedra R, Smithson S, Alegre J, Chiva R (2004) Role of information systems on the business network formation process: an empirical analysis of the automotive sector. J Enterp Inform Manag 17(3):219–228CrossRef
Zurück zum Zitat Laplante A (2005) Integrated systems improve medical care, control costs, according to Enthoven. Stanford Report, October 26, pp 1–3 Laplante A (2005) Integrated systems improve medical care, control costs, according to Enthoven. Stanford Report, October 26, pp 1–3
Zurück zum Zitat Lewis BR, Byrd TA (2003) Development of a measure for the information technology infrastructure construct. Eur J Inform Syst 12:93–109CrossRef Lewis BR, Byrd TA (2003) Development of a measure for the information technology infrastructure construct. Eur J Inform Syst 12:93–109CrossRef
Zurück zum Zitat Melville N, Kraemer K, Gurbaxani V (2004) Information technology and organizational performance: an integrative model of IT business value. MIS Quarterly 28(2):283–322 Melville N, Kraemer K, Gurbaxani V (2004) Information technology and organizational performance: an integrative model of IT business value. MIS Quarterly 28(2):283–322
Zurück zum Zitat Nunnally JC (1978) Psychometric theory. McGraw-Hill, New York Nunnally JC (1978) Psychometric theory. McGraw-Hill, New York
Zurück zum Zitat Page S (2003) Virtual health care organizations and the challenges of improving quality. Health Care Manag Rev 28(1):79–92CrossRef Page S (2003) Virtual health care organizations and the challenges of improving quality. Health Care Manag Rev 28(1):79–92CrossRef
Zurück zum Zitat Parker VA, Charns MP, Young GJ (2001) Clinical service lines in integrated delivery systems: an initial framework and exploration. J Healthcare Manage 46(4):261–275 Parker VA, Charns MP, Young GJ (2001) Clinical service lines in integrated delivery systems: an initial framework and exploration. J Healthcare Manage 46(4):261–275
Zurück zum Zitat Payton FC, Ginzberg MJ (2001) Inter organizational health care systems implementations: an exploratory study of early electronic commerce initiatives. Health Care Manage Rev 26(2):20–32CrossRef Payton FC, Ginzberg MJ (2001) Inter organizational health care systems implementations: an exploratory study of early electronic commerce initiatives. Health Care Manage Rev 26(2):20–32CrossRef
Zurück zum Zitat Rockart JF, Earl MJ, Ross JW (1996) Eight imperatives for the new IT organization. Sloan Manage Rev 38(1):43–55 Rockart JF, Earl MJ, Ross JW (1996) Eight imperatives for the new IT organization. Sloan Manage Rev 38(1):43–55
Zurück zum Zitat Rogers J, Lutz S (2003) Cost of caring: key drivers of growth in spending on hospital care. PricewaterhouseCoopers pp 1–19 Rogers J, Lutz S (2003) Cost of caring: key drivers of growth in spending on hospital care. PricewaterhouseCoopers pp 1–19
Zurück zum Zitat Rosow E, Grimes SL (2003) Technology’s implications for health care quality. Nurs Admin Quarterly 27(4):307–317CrossRef Rosow E, Grimes SL (2003) Technology’s implications for health care quality. Nurs Admin Quarterly 27(4):307–317CrossRef
Zurück zum Zitat Sambamurthy V, Chin W (1994) The effects of group attitudes toward GDSS designs on the decision-making performance of computer-supported groups. Decis Sci 25(2):215–242CrossRef Sambamurthy V, Chin W (1994) The effects of group attitudes toward GDSS designs on the decision-making performance of computer-supported groups. Decis Sci 25(2):215–242CrossRef
Zurück zum Zitat Schumaker AM (2002) Inter organizational networks: using a theoretical model to predict effectiveness of rural health care delivery networks. J Health Hum Serv Adm 25:372–406 Schumaker AM (2002) Inter organizational networks: using a theoretical model to predict effectiveness of rural health care delivery networks. J Health Hum Serv Adm 25:372–406
Zurück zum Zitat Simoens S, Scott A (2005) Integrated primary care organizations: to what extent is integration occurring and why. Health Serv Manage Res 18(1):25–40CrossRef Simoens S, Scott A (2005) Integrated primary care organizations: to what extent is integration occurring and why. Health Serv Manage Res 18(1):25–40CrossRef
Zurück zum Zitat Skipper JB, Craighead CW, Byrd TA, Rainer RK (2008) Towards a theoretical foundation of supply network interdependence and technology-enabled coordination strategies. Int J Phys Distrib Logist Manag 38(1):39–56CrossRef Skipper JB, Craighead CW, Byrd TA, Rainer RK (2008) Towards a theoretical foundation of supply network interdependence and technology-enabled coordination strategies. Int J Phys Distrib Logist Manag 38(1):39–56CrossRef
Zurück zum Zitat Smith AE, Swinehart KD (2001) Integrated systems design for customer focused health care performance management: a strategic service unit approach. Int J Health Care Qual Assur 14(1):21–28CrossRef Smith AE, Swinehart KD (2001) Integrated systems design for customer focused health care performance management: a strategic service unit approach. Int J Health Care Qual Assur 14(1):21–28CrossRef
Zurück zum Zitat Snyder KD, Paulson P (2002) Healthcare information systems: analysis of healthcare software. Hosp Top 80(4):5–12CrossRef Snyder KD, Paulson P (2002) Healthcare information systems: analysis of healthcare software. Hosp Top 80(4):5–12CrossRef
Zurück zum Zitat Straub D, Rai A, Klein R (2004) Measuring firm performance at the network level: a nomology of the business impact of digital supply networks. J Manage Inform Syst 21(1):83–114 Straub D, Rai A, Klein R (2004) Measuring firm performance at the network level: a nomology of the business impact of digital supply networks. J Manage Inform Syst 21(1):83–114
Zurück zum Zitat Subramani MR (2004) How do suppliers benefit from information technology use in supply chain relationship? MIS Quarterly 28(1):45–73 Subramani MR (2004) How do suppliers benefit from information technology use in supply chain relationship? MIS Quarterly 28(1):45–73
Zurück zum Zitat Tallon PP, Kraemer K, Gurbaxani V (2000) Executives’ perceptions of the business value of information technology: a process-oriented approach. J Manage Inform Syst 16(4):145–173CrossRef Tallon PP, Kraemer K, Gurbaxani V (2000) Executives’ perceptions of the business value of information technology: a process-oriented approach. J Manage Inform Syst 16(4):145–173CrossRef
Zurück zum Zitat Tapscott D, Caston A (1993) Paradigm shift: the new promise of information technology. McGraw-Hill, New York Tapscott D, Caston A (1993) Paradigm shift: the new promise of information technology. McGraw-Hill, New York
Zurück zum Zitat Tierney WM, Miller ME, Overhage JM, McDonald CJ (1993) Physician inpatient order writing on microcomputer workstations: effects on resource utilization. J Am Med Assoc 269(3):379–383CrossRef Tierney WM, Miller ME, Overhage JM, McDonald CJ (1993) Physician inpatient order writing on microcomputer workstations: effects on resource utilization. J Am Med Assoc 269(3):379–383CrossRef
Zurück zum Zitat Venkatraman N (1994) IT-enabled business transformation: from automation to business scope redefinition. Sloan Manage Rev 35:73–87 Venkatraman N (1994) IT-enabled business transformation: from automation to business scope redefinition. Sloan Manage Rev 35:73–87
Zurück zum Zitat Waring T, Wainwright D (2000) Interpreting integration with respect to information systems in organizations—image, theory and reality. J Inform Technol 15:131–148CrossRef Waring T, Wainwright D (2000) Interpreting integration with respect to information systems in organizations—image, theory and reality. J Inform Technol 15:131–148CrossRef
Zurück zum Zitat Weiner BJ, Savitz LA, Bernard S, Pucci LG (2004) How do integrated delivery systems adopt and implement clinical information systems. Health Care Manage Rev 29(1):51–66CrossRef Weiner BJ, Savitz LA, Bernard S, Pucci LG (2004) How do integrated delivery systems adopt and implement clinical information systems. Health Care Manage Rev 29(1):51–66CrossRef
Zurück zum Zitat Young DW, McCarthy SM (1999) Managing integrated delivery systems: a framework for action. Health Administration, Chicago Young DW, McCarthy SM (1999) Managing integrated delivery systems: a framework for action. Health Administration, Chicago
Metadaten
Titel
An Empirical Investigation of the Impact of Information Technology Integration in Healthcare Integrated Delivery Systems
verfasst von
Evelyn Thrasher
Copyright-Jahr
2016
DOI
https://doi.org/10.1007/978-3-319-23294-2_6