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enterprise architecture for healthcare

Before I can give a recommendation, let us first define enterprise architecture (EA) and identify the major EA frameworks (EAF). isational structure and internal interactions. • The article suggests enterprise architecture (EA) based approach to management of healthcare. Find out how healthcare organizations are using AI and machine learning to detect patient risk and identify disease faster while maintaining privacy and protecting against fraud. In this paper, we study how EA programs. Using a sample of 155 IT professionals from private and government organisations in Saudi Arabia, the authors tested a model of cloud-based applications adoption that is influenced by individual characteristics (represented by personal innovativeness in the domain of IT), organisational context (represented by the accessibility of the technology), technological context (represented by perceived vulnerabilities) and social context (represented by social image). Method: EAAE, EA Adoption Evaluation; IT, Participant characteristics and status of EA, Our thematic analysis also confirmed that 30%, We would like to acknowledge the study participants, Asian, JJ conceived and designed the study, conducted the survey, The authors have not declared a specic grant for this research from any. Please refer to the online supplementary appendix 2 for individual, context of a healthcare organisation. countries. Leadership and communication, appeared as one of the key challenges for EA adoption in, our study. Participants strongly felt a need for, effective communication between the senior manage-, ment and EA implementers for successful adoption and, implementation. Cost reduction was, less emphasised. It discusses a healthcare framework for providing universal health coverage to all citizens. Conclusion within the enterprise and their dependencies. 10th IEEE International, 2011 IEEE 15th International Enterprise Distributed Object, understanding academics’ behavioural intention to use learning, Enterprises: A Starting Point for Bringing EA to SMEs, Based on, Adoption Models. Authors: Kamran Ahsan. Sample the International Society for Telemedicine and eHealth, health information systems using enterprise architecture approach, among women: the Moderating role of health consciousness, technology acceptance model for predicting organizational buyers’, it professionals' intention to use cloud-. This allows for improved, business and IT alignment by ensuring that business, requirements and IT implementation are appropriately, matched. EA can be use in any organization where IT and organization functionality (business functions) alignments are required. 26 participants from 18 healthcare organisations in the Asia-Pacific region representing 11 countries. We focused on EA adoption studies in the healthcare, sector to identify relevant components. Originality/value Enterprise architecture (EA) is a discipline for proactively and holistically leading enterprise responses to disruptive forces by identifying and analyzing the execution of … and hybrid organizations: more evidence on frequent assertions. Finally, the performance layer encompassed the organisation’s, performance regarding their EA and the adherence to, their EA throughout the organisation. System Sciences, 2007. The results from this study should, also be interpreted in the context of IT usage in low, resource health systems as reported by a limited number, of participants from a selective AeHIN countries. Data is analysed through review of literature and AeHIN Hour technical reports. He is currently working intensively on a reference architecture for healthcare that puts the patient in … In other words, the findings in this study might not, reduced statistical power in this study does not allow to, We developed the EAAE framework to assess the adop-, tion of EA in healthcare organisations. Cost reduction was less, emphasised as an EA adoption goal. 181-192 architecture management process (iii) enterprise architecture approach (iv) and ically analyse EA adoption, content and governance. The framework is based on practical requirements that have emerged during the ongoing development of GEA in Finland. The findings show that accessibility of the technology, perceived vulnerabilities, individual characteristics and social image are all important determinants for using cloud applications and solutions. To this end, a Systematic Literature Review (SLR) was conducted. Purpose ... recognised information, messaging and infrastructure standards specific to healthcare will lead to innovative and responsive ICT solutions and services, value for money and clearly articulated benefits. Healthcare Enterprise Architecture Frameworks: Healthcare frameworks and metamodels provide structures and standards which allow architects to quickly document and align IT and organizational goals. The components, identified through this process were then devised into a, logical framework. Objectives: AeHIN paves the way for countries to recognise challenges and issues they face which are important for substantiating existing technical assistance. describe EA of today’s rapidly evolving enterprise, and 2) explore This review synthesized the studies focused on the adoption, design, and implementation of mHealth. Springer Berlin Heidelberg, 2014: 67–96. Information flows have become the ‘circulatory system’ of the organization. The Asia eHealth Information Network (AeHIN) is a community of about 900 professionals in South and Southeast Asia, convened as a peer group dedicated to strengthening local health systems through the use of information and communications technology. permits others to distribute, remix, adapt, and license their derivative works on different terms, provided the original work is, properly cited, appropriate credit is given, any changes made indicated, and the use. Only a handful of organisations have, begun the adoption while most are yet to start the adop-, tion process. related to EA adoption. HICSS'09. Jim Quiggle. With this in mind, we aimed to systemat-, ically investigate factors associated with the adoption of, EA in LMICs healthcare organisations in the Asia-, region through the Asia eHealth Information Network, (AeHIN) . Make it easy for your staff to collaborate. A better, understanding of the situation of the organisation(s) can, be obtained by using this framework to evaluate EA adop-, expected changes. These include sensitive patient. Enterprise Architecture in Healthcare Posted on September 17, 2016 by triciuhhh For this week’s topic is digging deeper of how the healthcare information systems—like the Philippine Health Information Exchange that I have discussed in the previous … laborative network of individuals and country rep-, to the use of IT to strengthen healthcare and health, care organisations is still in very early stages in the, healthcare organisations is to address interoperabil-, ment in EA is a major challenge for the adoption of, a major transformational shift in the use of information, and digital health technologies. Here, we present a new model called the Consumer Health Information System Adoption Model, which depicts both consumer eHealth literacy skills and system demands on eHealth literacy as moderators with the potential to affect the strength of relationship between usefulness and usability (predictors of usage) and adoption, value, and successful use (actual usage outcomes). To manage this complexity, enterprise architects use standardized methodologies or frameworks that help them document a system’s behaviors in a commonly recognized way. Setting up fully functional national eHealth systems is a challenge. The goals expressed for EA adoption were to, infrastructure and poor alignment of business and, information technology strategies. This document is a Snapshot of what is intended to become The Open Group Healthcare Enterprise Reference Architecture (HERA) standard. This generic, framework guided the development of an instrument to, sations across 11 different countries. The framework was, targeted towards senior management at healthcare organ-, isations (ie, any evaluation to be undertaken using this, framework requires seeking information from the senior, management). To encourage EA adoption, these organisations need to invest in internal capacity building, senior management training and seek independent EA expert advice to systematically identify and address the barriers to adopting EA. Although the demand for use of information technology within the healthcare industry is intensifying, relatively little has been written about guidelines to optimize IT investments. However, challenges, goals and benets associated with adoption of, EA for healthcare in the Asia eHealth Information Network. Second, this study is the first to present a comprehensive set of criteria that not only synthesizes previously proposed criteria but also includes new criteria (e.g., SOA models and usability). Please refer, to the online supplementary appendix A for additional, information on the methods and materials employed as, The data collected was systematically analysed and, summarised to highlight the challenges associated with, the EA adoption in healthcare organisations in the, subjected to data quality checks and any erratic responses, themes were identified independently by two authors by, verifying the participants’ responses. Simply keeping up with…, Your email address will not be published. All rights are reserved. These challenges determined the primary goals of these, organisations for adopting EA. Please refer to the online. • The HMIS has improved information management for all stakeholders. Healthcare Enterprise Architecture. Management of the AeHIN Hour should be strengthened in order to maximise its value in building capacities among country-level actors who would shape the course of health systems strengthening. In other words, only 1 participant, EA, enterprise architecture; MoH, Ministry of Health; TOGAF, had fully adopted EA, 14 participants were planning. Most of the participants are from MoH, or equivalent government bodies, who perceive the EA, maturity appears to be a huge limiting factor, mended that besides building internal capacity for EA in, health organisations, they should also consider knowl-, edge exchange with other organisations in the Asia-, region. View Profile. is perceived to have positive effects on the organisations. Business process, Participants reported that before EA adoption, there, were issues with their business and IT alignment, interop-, erability, governance, standardisation, ownership and, knowledge. Download PDF Back. Findings the rationale behind the participants’ responses. Data obtained for the current study were collected using convenience sampling and the sample consisted of women who not only have Internet access but used the Internet in their daily life. This paper investigates the role of EA in healthcare organizations. Adoption of enterprise architecture for healthcare in AeHIN member countries @article{Jonnagaddala2020AdoptionOE, title={Adoption of enterprise architecture for healthcare in AeHIN member countries}, author={J. Jonnagaddala and Guan N Guo and Sean Batongbacal and A. Marcelo and S. Liaw}, journal={BMJ … tion for better applicability in the healthcare context. pants reported a positive effect on their organisation. Here are some downloads to inspire you on enterprise architecture for healthcare organizations: Domain Reference Model for Hospitals (PDF) ATOS IT Architecture For Healthcare (PDF) Provide neutral and open space for different applications to communicate with each other to achieve business interoperability. supplementary appendix A for additional results. © Springer-Verlag Berlin Heidelberg 2005. AeHIN is a collaborative network of individ-, uals and country representatives from the Asia-, region committed to the use of IT to strengthen health-, primarily consisting of LMICs in the Asia-, We developed a robust evaluation framework to investi-, gate the key aspects associated with EA adoption based, on the TAM framework. Required fields are marked *. EAAE, EA Adoption Evaluation; IT, information technology. The main challenges to adopting EA was, the lack of EA knowledge, leadership and involvement of, adoption, these organisations need to invest in internal, capacity building, senior management training and seek, independent EA expert advice to systematically identify, Healthcare is currently experiencing a major, transformation in its use of information and, tions are increasingly adopting more infor-, mation technology (IT) systems to assist in. Everyone benefits from connected healthcare systems; people, families, districts, states, nations. Interoperability was also identified as a very, important factor across all organisations. Finally, the components of the T, work were compared with the EAAE framework to ensure, that it appropriately accounted for the issues covered by, A questionnaire developed using the approach explained. Based on the findings from the first round of the Finnish Interoperability Programme developing the GEA and our follow up research, we identify areas for improvement. We, also presented the benefits of adopting EA. The relevance of the primary goals of EA will be, a major determinant of the successful adoption of EA by, the organisations. Based on these findings, and using the design science research approach, this study then designs and tests an EAF evaluation artifact that identifies, elaborates and operationalizes a comprehensive set of 14 criteria. The TAM framework, assisted us to focus not only on the perceived usefulness, and performance of EA but also on perceived ease of, EA use, attitude towards EA and intent to use EA in the, Each cell in the table refers to question number in the questionnaire. Data governance to organize responsibilities and quality assurance. The EAAE framework assumed, that all the major steps of the EA implementation life-, cycle were captured and was an adequate representation, of the lifecycle for this framework. 7 Key Enterprise Architecture Metrics posted by John Spacey, April 24, 2011. Interoperability is a key issue for healthcare, has been well documented, we can infer from our study, results that interoperability remains a major challenge, in both developing and developed countries’ healthcare, systems. Feedback on the EAAE framework and question-, naire was also obtained from the relevant stakeholders. Only one participant has, ness, data, application and technology. EA often bridges several organisational units and departments. Half of, the participants were from large organisations with more, than 10 000 employees. We discover that particular ordering of the interrogatives, based on Their relative importance also changes as the EA programs proceed. Enterprise architecture considers organizations complex systems. Findings revealed that health consciousness moderates the influence of attitude towards Internet use for health information seeking. A Certification Commission for Health Information Technology report on accountable care never mentions the concept of enterprise architecture. Ministry of nance, state it. The goals expressed for EA adoption were to address issues such as interoperability, lack of technical infrastructure and poor alignment of business and information technology strategies. Also, our research is positioned in a unique context since it investigates a system that is generally mandatory in nature. The architecture is … The model explained 74% of the intention to use cloud-based applications. work was used to quantitatively assess the usability, we, have only used it as a basis to develop a generic evalu-, ation framework because EA adoption is multifactorial, and often complex covering several components beyond, the TAM framework components. A mismatch between business requirements, and IT implementation can result in compounded diffi-, ities can optimise operations and help reduce IT and, Many healthcare organisations that have adopted EA, different approaches to implementing EA. sharing platform for ehealth in South and Southeast Asia. and support to the senior management. This was followed by analysis and, triangulation of data to deduce key findings. This allows identification of areas of interest about, the state of EA adoption for a given organisation, such as. By analysing and addressing each of these layers, and components, a multifaceted view and evaluation of, work and their components must be analysed while, considering the relations between layers when appro-, priate. There are many established enterprise architecture frameworks and methodologies. This study highlights the need for capacity building, in the areas of EA implementation, adoption and eval-, uation targeted towards the senior management in the, first instance. As consumer health information systems become increasingly popular, it is important to explore the factors that impact their adoption and success. We want to highlight some of these topics in this blog. Among these participants, the interopera-, bility aspect was perceived as the most significant benefit, of EA, followed by reliability and security. Results: Healthcare organisations are undergoing a major transformational shift in the use of information and digital health technologies. A reference architecture should encourage delivery of care across a patient’s health continuum. The HERA is a framework for the development of a reference architecture for a healthcare company, from big to small (50 employees or more). A mixed group, from hospitals and other healthcare providers. major problem faced by the EA practitioners today. Protected by copyright. While a system may have been implemented successfully and its use may have been mandated, it may actually not be used to its fullest extent, leaving significant potential unrealized. Selecting an enterprise architecture framework (EAF) that will best address the needs of their organization is a difficult task for enterprise architecture practitioners. tion due to issues such as lack of appropriate standards. Driving Business Outcomes with Enterprise Architecture as a Knowledge Hub, Enterprise Portfolio Management: Introduction, Discover why BiZZdesign is named a Leader, BiZZdesign Connect Conference Links Attendees with Value, Improving the Use of Capabilities in Business Architecture. In the workshop, we discussed various complementary solutions: In particular, the increased reporting pressure from the government, insurers and regulators makes good management information paramount. Enterprise architecture (EA) plays significant role in public, private as well as other organizational systems, such as health care organizations , educational institute, cloud computing and e-government. © 2008-2020 ResearchGate GmbH. These six perspectives Lean & Enterprise Architecture: Enterprise Architecture for Lean Business... By using this website you consent to the use of cookies and personal data. EA in government regarding the reasons and effects of, tigated the goals and benefits of EA adoption Lange and, Although there are many studies related to EA adoption, in other sectors there is little evidence on evaluation of EA, adoption in healthcare organisations. evolved to structure the business and its alignment with the IT Enterprise Architecture and Capability-Based Planning, Enterprise Architecture and Strategic Investment Planning, BiZZdesign Code of Ethics and Business Conduct. Since most of the participants had not yet adopted EA, the postadoption responses such as the benefits and chal-, lenges were analysed based on perceived usefulness and. HICSS 2007. The proposed architecture was developed in an integrated and comprehensive manner for the individual healthcare referral process, which can be implemented by regulators and healthcare facilities. The results of this study are of interest for both practitioners and academics in the field of enterprise architecture. 40th Annual Hawaii. Author. The results show how rules, norms, and values change and influence the EA programs and their institutionalisation. in starting and creating complete EA for their enterprises, and provide theoreticians with tools needed to improve other EA The complexity of the healthcare system in the Netherlands and many other countries makes this a challenging task. This Snapshot is valid through through October 10, 2018 only. Government healthcare organisations in the, AeHIN countries are also reluctant to exchange informa-. The data must be secured, high of quality (consistence). organisational structure, business process, information systems and digital health infra-, as a master plan providing a holistic view, addresses complexity management, allowing, for standardisation and consolidation of the, organisational units and components holisti-, cally. Enterprise Architecture Diagram Example: Healthcare Analystics Enterprise Architecture Diagram. Your email address will not be published. frameworks, such as Zachman, TOGAF, and SABSA. the context of EA, TAM has been used as both adoption, (to assist with implementation of EA) and evaluation (to, assess the planned or preplanned implementation of EA), Previous studies on EA in healthcare have mostly eval-, uated the EA implementation framework used; a few, studies examined the overall adoption of EA by organi-. This translation process is considered by many to be EA's greatest strength. org/ 0000- 0002- 9912- 2344, An introduction to the TOGAF standard, version 9.2, A technology acceptance model for empirically testing new, Information systems for small and medium-, Enterprise architecture: a governance framework, System Sciences, 2009. Nearly all the, participants also agreed that EA adoption had or will have, a positive impact on the business strategy. systems. HICSS'06. For our Week 4 requirement in Health Informatics 201 class, we were asked to answer the question: "Which enterprise architecture framework would you recommend for healthcare?" willing to hire external EA experts to address this issue. to achieve (1) interoperability through standardisation. EA can be use in any organization where IT and organization functionality (business functions) alignments are required. It is also, important to note that most of the participants have not, fully implemented EA, and their responses were based on, perceived usefulness. This document is a Snapshot of what is intended to become The Open Group Healthcare Enterprise Reference Architecture (HERA) standard. Findings Integration of EAAE and TAM framework components into the questionnaire, egy alignment and interoperability issues as they, move towards the adoption of digital health resourc-, digm, healthcare organisations can leverage to ad-. The findings will potentially contribute to research and practice by revealing the crucial factors that will impact IT professionals' intention to adopt cloud computing in the context of developing countries in the Arab world. Enterprise architecture will help to explain the recent condition of a country s healthcare information system, and provide assistance and steps to achieve growth with the passing of time, which countries could use to inform plans for healthcare information system investments. The main challenges to adopting EA was the lack of EA knowledge, leadership and involvement of senior management. To do so, this research first conducts a review of the literature on EAF evaluation criteria. Participating organisa-, tions were from 11 different countries in the Asia-. • The HMIS has improved information management for all stakeholders. Others used either, just business, or application and data, or business, data, and application layers. The purpose of the study was to review the essential characteristics of mHealth and discuss what mHealth presents to research and theory. All the authors have iteratively revised, ability. This is an open access article distributed in accordance with the, http:// orcid. Nine partic-, ipants had an experience of more than 20 years. creation and evolution of EA. In: Devos J, van Landeghem H, Deschoolmeester, Enterprises: state of art of is research in SMEs. Implications and recommendations for research and practice were provided. The healthcare system in a country and the health care organizations like hospitals and clinics cannot do without enterprise architecture anymore. management information systems: an assessment. The, primary goals discussed previously also echo the same, finding. to describe viewpoint concerns and the inter-relationships and Enterprise architecture is effectively employed in healthcare organizations in order to maximize the gains of ICT advantages. Many architecture groups in healthcare organizations are struggling with the communication with the rest of the organization. This is really an issue for the boardroom, given the serious risks involved. However, asked specifically about infrastructure, the opinions were, mixed. Methods Enterprise Architecture (EA) implementation evaluation provides a set of methods and practices for evaluating the EA implementation artefacts within an EA implementation project. Communications of the Association for Information Systems. The best way to understand Enterprise Architecture Diagram is to look at some examples of Enterprise Architecture Diagram and start drawing your own. Adoption of enterprise architecture for healthcare in AeHIN member countries Jitendra Jonnagaddala , 1,2 Guan N Guo,1,2 Sean Batongbacal,3 Alvin Marcelo,4 Siaw- eng T Liaw 1,2 To cite: Jonnagaddala J, Guo GN, Batongbacal S, et al. IT leadership lacked a systematic framework to set strategic direction and drive transformational change throughout the enterprise. Finally, we learned that architects with some background in and affinity with healthcare find it easier to bridge the gap between the EA discipline and the primary operation of healthcare. I often talk about why a Late-Binding™ data architecture is the best option for an enterprise data warehouse (EDW) with healthcare data.Why am I so passionate about this topic?

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