Rx for integration: lessons learned in health care EAI

IF 0.7 Q4 COMPUTER SCIENCE, INFORMATION SYSTEMS
Hamid R. Nemati, S. Stewart, Faye Sherrill-Huffman
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引用次数: 4

Abstract

Managed care, Medicare reform and skyrocketing costs have forced health care providers to take a closer look IT and how it can help in providing a competitive advantage. Prior to the 1990s, most computer systems designed for health care were mission-specific. By the early to mid 1990s, many hospitals had begun to search the market for tools to integrate their aging transactional systems, since an integrated environment could provide more business-oriented functions such as decision support. However, for many medical centers achieving a seamless integration proved to be a daunting task.Enterprise Application Integration (EAI) was a response to decades of organizations creating distributed stand-alone applications resulting in an overabundance of platforms and development approaches. Enterprise Application Integration (EAI) techniques provided the interface layer to allow the systems to act as one "seamless" whole. This case provides an overview of EAI and examines the technical and organizational challenges faced by a major medical center in North Carolina attempting to integrate its enterprise applications and discusses how the project team responded to those challenges. An appendix featuring a complete list of products covered in this case, as well as a brief glossary of healthcare IT terms, follows the case.
整合方案:在卫生保健EAI中吸取的经验教训
管理式医疗、医疗保险改革和飙升的成本迫使医疗保健提供者更密切地关注IT,以及它如何帮助提供竞争优势。在20世纪90年代之前,大多数为医疗保健设计的计算机系统都是特定任务的。到20世纪90年代早期到中期,许多医院已经开始在市场上寻找工具来集成其老化的事务系统,因为集成环境可以提供更多面向业务的功能,如决策支持。然而,对于许多医疗中心来说,实现无缝集成被证明是一项艰巨的任务。企业应用集成(Enterprise Application Integration, EAI)是对几十年来组织创建分布式独立应用程序导致平台和开发方法过剩的一种回应。企业应用集成(EAI)技术提供了接口层,允许系统作为一个“无缝”的整体。本案例概述了EAI,研究了北卡罗来纳州一家大型医疗中心在尝试集成其企业应用程序时面临的技术和组织挑战,并讨论了项目团队如何应对这些挑战。本案例后面附有附录,其中包含本案例中涉及的产品的完整列表,以及医疗保健IT术语的简要术语表。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Cases on Information Technology
Journal of Cases on Information Technology COMPUTER SCIENCE, INFORMATION SYSTEMS-
CiteScore
2.60
自引率
0.00%
发文量
64
期刊介绍: JCIT documents comprehensive, real-life cases based on individual, organizational and societal experiences related to the utilization and management of information technology. Cases published in JCIT deal with a wide variety of organizations such as businesses, government organizations, educational institutions, libraries, non-profit organizations. Additionally, cases published in JCIT report not only successful utilization of IT applications, but also failures and mismanagement of IT resources and applications.
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