Abstract
Connected Health can be described as a patient- or consumer-centred socio-technical healthcare management model which exploits the use of information and communication technology (ICT) during clinical or wellness decision-making tasks. It facilitates the connectivity of information sources and extends healthcare services and processes beyond traditional healthcare institutions. However, while much of the emphasis has been on developing the technology to facilitate Connected Health, there are few efforts that have established an evaluation model to encapsulate and assess the value and potential impact of Connected Health solutions, particularly from multiple stakeholders’ perspectives. Many information systems (IS) and health information systems (HIS) models are narrow in their evaluation focus. We present the Connected Health Evaluation Framework (CHEF), which offers a generic approach that encapsulates a holistic view of a Connected Health evaluation process. It focuses on four key domains: end-user perception, business growth, quality management and healthcare practice. We present a case study on the Irish Blood Transfusion Service (IBTS) and describe the multi-stakeholder analysis challenge which this presents from an evaluation perspective. We also explore how CHEF could have guided more successful outcomes though our evaluation process.
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References
Carroll, N.: In search we trust: exploring how search engines are shaping society. Intl. J. Knowl. Soc. Res. (IJKSR) 5(1), 12–27 (2014)
Carroll, N., Richardson, I.: Aligning healthcare innovation and software requirements through design thinking. In: International Workshop on Software Engineering in Healthcare Systems, 14–15 May, Austin, TX, USA (2016)
Carroll, N., Travers, M., Richardson, I.: Evaluating multiple perspectives of a connected health ecosystem. In: 9th International Conference on Health Informatics (HEALTHINF), Rome, Italy, February, pp. 21–23 (2016)
Caulfield, B.M., Donnelly, S.C.: What is Connected Health and why will it change your practice? QJM 106, 703–707 (2013). hct114
Christensen, C.M., Bohmer, R., Kenagy, J.: Will disruptive innovations cure health care? Harvard Bus. Rev. 78(5), 102–112 (2000)
Cullen, P.: Blood service not told about problems with testing device, Irish Times, 18 Nov 2015. http://www.irishtimes.com/news/health/blood-service-not-told-about-problems-with-testing-device-1.2433719. Accessed 24 Mar 2016
Dávalos, M.E., French, M.T., Burdick, A.E., Simmons, S.C.: Economic evaluation of telemedicine: review of the literature and research guidelines for benefit-cost analysis. Telemed. e-Health, 15, 933–948 (2009)
Davis, F.D.: Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 13, 319–340 (1989)
Delbanco, T., Walker, J., Bell, S.K., Darer, J.D., Elmore, J.G., Farag, N., Feldman, H.J., Mejilla, R., Ngo, L., Ralston, J.D., Ross, S.E., Trivedi, N., Vodicka, E., Leveille, S.G.: Inviting patients to read their doctors’ notes: a quasi-experimental study and a look ahead. Ann. Intern. Med. 157(7), 461–470 (2012)
DeLone, W.H.: The DeLone and McLean model of information systems success: a ten-year update. J. Manage. Inf. Syst. 19(4), 9–30 (2003)
DeLone, W.H., McLean, E.R.: Information systems success: the quest for the dependent variable. Inf. Syst. Res. 3(1), 60–95 (1992)
Dixon, D.R.: The behavioral side of information technology. Int. J. Med. Inf. 56(1), 117–123 (1999)
ECHAlliance: Connected Health – White Paper (2014). http://cht.oulu.fi/uploads/2/3/7/4/23746055/connected_health.pdf. Accessed 03 Sep 2015
Fineout-Overholt, E., Melnyk, B.M., Schultz, A.: Transforming health care from the inside out: advancing evidence-based practice in the 21st century. J. Prof. Nurs. 21(6), 335–344 (2005)
Friedman, C.P., Wyatt, J.C.: Evaluation Methods in Medical Informatics. Springer-Verlag, New York (1997)
Gartland, F.: IBTS suspends taking blood donations from women, Irish Times, 16 Nov 2015. http://www.irishtimes.com/news/health/ibts-suspends-taking-blood-donations-from-women-1.2432401. Accessed 24 Mar 2016
Giardino, C., Bajwa, S.S., Wang, X., Abrahamsson, P.: Key challenges in early-stage software startups. In: Lassenius, C., Dingsøyr, T., Paasivaara, M. (eds.) XP 2015. LNBIP, vol. 212, pp. 52–63. Springer, Heidelberg (2015). doi:10.1007/978-3-319-18612-2_5
Grant, A., Plante, I., Leblanc, F.: The TEAM methodology for the evaluation of information systems in biomedicine. Comput. Biol. Med. 32(3), 195–207 (2002)
Gregor, S.: The nature of theory in information systems. MIS Q. 30(3), 611–642 (2006)
Heathfield, H., Pitty, D., Hanka, R.: Evaluating information technology in health care: barriers and challenges. BMJ 316(7149), 1959 (1998)
Hebert, M.A, Korabek, B.: Stakeholder readiness for telehomecare: implications for implementation. Telemed. J. e-Health 10, 85–92 (2004)
IBTS: IBTS Strategic Plan 2013–2016 (2013). https://www.giveblood.ie/About_Us/Publications_Guidelines/Strategic_Plans/IBTS-Strategic-Plan-2013-2016.pdf. Accessed 24 Mar 2016
IBTS: IBTS first national transfusion service to roll out non-invasive haemoglobin check for blood donors (2015). https://www.giveblood.ie/About_Us/Newsroom/Press_Releases/2015/IBTS-first-national-transfusion-service-to-roll-out-non-invasive-haemoglobin-check-for-blood-donors.html. Accessed 24 Mar 2016
IBTS: Blood Donation Information Leaflet (2016). http://www.giveblood.ie/Become_a_Donor/Information_Leaflets/Blood_Donation_Information_Leaflet.pdf. Accessed 24 Mar 2016
Kaplan, B.: Addressing organizational issues into the evaluation of medical systems. J. Am. Med. Inform. Assoc. 4(2), 94–101 (1997)
Kaplan, B.: Evaluating informatics applications—some alternative approaches: theory, social interactionism, and call for methodological pluralism. Int. J. Med. Inf. 64(1), 39–56 (2001)
Kuhn, K.A., Giuse, D.A.: From hospital information systems to health information systems-problems, challenges, perspective. In: Yearbook of Medical Informatics, pp. 63–76 (2001)
Leveille, S.G., Walker, J., Ralston, J.D., Ross, S.E., Elmore, J.G., Delbanco, T.: Evaluating the impact of patients’ online access to doctors’ visit notes: designing and executing the OpenNotes project. BMC Med. Inform. Decis. Mak. 12(1), 32 (2012)
Mathur, A., Kvedar, J.C., Watson, A.J.: Connected health: a new framework for evaluation of communication technology use in care improvement strategies for type 2 diabetes. Curr. Diabetes Rev. 3(4), 229–234 (2007)
Meltsner, M.: A patient’s view of OpenNotes. Ann. Intern. Med. 157(7), 523–524 (2012)
Misuraca, G., Codagnone, C., Rossel, P.: From practice to theory and back to practice: reflexivity in measurement and evaluation for evidence-based policy making in the information society. Gov. Inf. Q. 30, S68–S82 (2013)
Murphy, W.: Interview on Morning Ireland [radio]. RTE Radio 1, 17 Nov 2015. 07:26
O’Leary, P., Carroll, N., Richardson, I.: The practitioner’s perspective on clinical pathway support systems. In: 2014 IEEE International Conference on Healthcare Informatics (ICHI), pp. 194–201. IEEE (2014)
O’Leary, P., Carroll, N., Clarke, P., Richardson, I.: Untangling the complexity of connected health evaluations. In: IEEE International Conference on Healthcare Informatics 2015 (ICHI 2015) Dallas, Texas, USA, 21–23 October 2015
O’Neill, S.A., Nugent, C.D., Donnelly, M.P., McCullagh, P., McLaughlin, J.: Evaluation of connected health technology. Technol. Health Care 20(4), 151–167 (2012)
Parasuraman, A., Zeithaml, V.A., Berry, L.L.: Servqual. J. Retail. 64(1), 12–40 (1988)
Postman, N.: Technopoly: The Surrender of Culture to Technology. Vintage Press, New York (1992)
Postman, N.: Building a Bridge to the 18th Century: How the Past Can Improve Our Future. Alfred A. Knopf Publishers, New York (1999)
Richardson, I.: Connected Health: People, Technology and Processes, Lero-TR-2015-03, Lero Technical Report Series, University of Limerick (2015)
Rodrigues, R., Huber, M., Lamura, G.: Facts and figures on healthy ageing and long-term care. Itävalta: European Centre for Social and Welfare policy and Research: Vienna (2012)
Rojas, S.V., Gagnon, M.P.: A systematic review of the key indicators for assessing telehomecare cost-effectiveness. Telemed. e-Health 14(9), 896–904 (2008)
Rudin, R.S., Jones, S.S., Shekelle, P., Hillestad, R.J., Keeler, E.B.: The value of health information technology: filling the knowledge gap. Am. J. Managed Care, Special Issue: Health Inf. Technol. 20(17), eSP1–eSP8 (2014)
Schwamm, L.H.: Telehealth: seven strategies to successfully implement disruptive technology and transform health care. Health Aff. 33(2), 200–206 (2014)
Shaw, N.T.: ‘CHEATS’: a generic information communication technology (ICT) evaluation framework. Comput. Biol. Med. 32(3), 209–220 (2002)
Tuffaha, H.W., Gordon, L.G., Scuffham, P.A.: Value of information analysis in healthcare: a review of principles and applications. J. Med. Econ. 17(6), 377–383 (2014)
Van Bemmel, J.H., Musen, M.A.: Handbook of Medical Informatics. Springer, Heidelberg (1997)
Ooteghem, J., Ackaert, A., Verbrugge, S., Colle, D., Pickavet, M., Demeester, P.: Economic viability of ecare solutions. In: Szomszor, M., Kostkova, P. (eds.) eHealth 2010. LNICSSITE, vol. 69, pp. 159–166. Springer, Heidelberg (2011). doi:10.1007/978-3-642-23635-8_20
Wilson, E.V., Lankton, N.K.: Interdisciplinary research and publication opportunites in information systems and health care. Commun. Assoc. Inf. Syst. 14(1), 51 (2004)
Yusof, M.M., Paul, R.J., Stergioulas, L.K.: Towards a framework for health information systems evaluation. In: Proceedings of the 39th Annual Hawaii International Conference on System Sciences, HICSS’06, vol. 5, p. 95a. IEEE (2006)
Zeithaml, V.A., Parasuraman, A., Berry, L.L.: Delivering Quality Service: Balancing Customer Perceptions and Expectations. Simon and Schuster, New York (1990)
Acknowledgements
This work was supported, in part, by ARCH - Applied Research for Connected Health Technology Centre (www.arch.ie), an initiative jointly funded by Enterprise Ireland and the IDA, SFI Lero Grant (www.lero.ie) 13/RC/2094 and Science Foundation Ireland (SFI) Industry Fellowship Grant Number 14/IF/2530.
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Carroll, N., Travers, M., Richardson, I. (2017). Connecting Multistakeholder Analysis Across Connected Health Solutions. In: Fred, A., Gamboa, H. (eds) Biomedical Engineering Systems and Technologies. BIOSTEC 2016. Communications in Computer and Information Science, vol 690. Springer, Cham. https://doi.org/10.1007/978-3-319-54717-6_18
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