The evolution of hospital information systems and the role of electronic patient records: From the Italian scenario to a real case

Paolo Locatelli, Nicola Restifo, Luca Gastaldi, Elena Sini, Michele Torresani

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Health care organizations can gain great value from Information and Communication Technologies (ICT), yet, although there is growing awareness of the potential benefits associated with their use, results often fall far short of expectations. Each year, the "ICT in Health Care" Observatory - part of the Politecnico di Milano School of Management - outlines a profile of the role of ICT in the Italian health care industry, investigating current projects in terms of their impact on processes and organizations, implementation state of the art, governance models, and prospective pathways. The 2009 collaborative research process outlines the need for a change in the way health care CIOs approach technological and organizational evolutions. ICT departments lack vision, governance mechanisms, skilled resources, and top management commitment. This has led to a series of distortions in the innovation of Hospital Information Systems (HISs) and ICT departments themselves. Currently they are too concerned with day-to-day operations and delay comprehensive initiatives capable of leading to effective ICT-driven innovations. The paper points out the problems that health care organizations are tackling and how they are trying to solve them. The case of the Italian National Cancer Institute in Milan provides a valuable example of how a health care organization is developing its HIS.

Original languageEnglish
Title of host publicationStudies in Health Technology and Informatics
Pages247-251
Number of pages5
Volume160
EditionPART 1
DOIs
Publication statusPublished - 2010
Event13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa
Duration: Sep 12 2010Sep 15 2010

Other

Other13th World Congress on Medical and Health Informatics, Medinfo 2010
CountrySouth Africa
CityCape Town
Period9/12/109/15/10

Keywords

  • Electronic patient record
  • Hospital information systems
  • ICT governance
  • ICT-driven innovation
  • Italian health care industry
  • Mobile & Wireless

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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