1.0 Introduction
1.1 About St. James’s Hospital
St. James’s Hospital (SJH) is the leading provider of acute patient care in Ireland. Accordingly it is a key shaper of public policy within the Irish health system. It occupies a prominent position in the public eye, and places high emphasis on innovation and service excellence.
SJH must constantly compete for resources from the government in order to achieve its goals. One such goal is to become the first hospital in Ireland to implement a full Electronic Paper Record (EPR) and effectively eliminate the use of paper from its operations. This initiative has the potential to transform patient care and significantly improve efficiency and patient safety.
1.2 Rationale for review
If SJH is to leverage the EPR to its full potential it is vital that the management team understands the relationship between technology and competitive advantage. The findings from this literature review should inform management as they attempt to secure funding for this initiative and also guide them regarding potential pitfalls in subsequent implementation.
2.0 Information gathering strategy
ABI/Inform and the Social Sciences Citation Index databases were used to locate journal articles for this review. Both databases were accessed through the UCD library website.
Databases were searched using the following key words/phrases:
• “Technology related competitive advantage”
• “Sustaining competitive advantage”
• “Information technology and competitive advantage”
• “Technology innovation and competitive advantage”
• “IT Governance and competitive advantage”.
Results were refined by journal title to exclude articles from non-business/management/IT disciplines. Articles were also filtere...
... middle of paper ...
...ue than espoused technology strategy in determining the potential for and extent of competitive advantage due to the EPR;
• The EPR has potential to trigger and increase levels of innovation at SJH. Management should be cognisant of barriers to innovation if this potential is to be realised;
• An IT governance committee should support the director of informatics, senior management and the board in ensuring this costly project remains under control and protected from political opposition and other forces of inertia;
• SJH should take a proactive approach in its relationship with the outsourcing partner for EPR in order to maximise utility through experiential learning; and
• As other hospitals adopt the EPR it may become essential to competition but inconsequential to strategy and accordingly the significance of the risk it creates may increase in importance.
Jha, A. K., Burke, M. F., DesRoches, C., Joshi M. S., Kralovec P. D., Campbell E. G., & Buntin M. B. (2011). Progress Toward Meaningful Use: Hospitals’ Adoption of Electronic Health Records. The American Journal of Managed Care, 17, 117-123
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
Over the years, healthcare facilities have acted like a storehouse for patients’ medical records, uninterested and unable to distribute clinical data to anyone beyond their organization. The EHR, started in the 1960s under the name of "computerized-based patient record" (CPR), became known as "electronic medical records" (EMR) in the 1990s and today it is known as electronic health record (EHR).The target of the Department of Health and Human Services (HHS) is to incorporate the EHR and use it in a "meaningful" way to improve the quality, efficiency, and safety of patient care delivery; to engage patients in their personal health record; and to improve care coordination. Equally important, the "meaningful use" of the EHR system intends to build a bridge to other systems by creating an interoperability of health information while implementing quality care throughout. However, this interoperability can only be accomplished when the receiving system and the user fully understand how to apply these exchanges.
Arthur, A., Thompson, Margaret, A., Peteraf, John, E. Gamble, A., J., Strickland III. (2014). Crafting & Executing Strategy: The Quest for Competitive Advantage 19e: Concepts & Cases. C6-C25.
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
...al Encyclopedia of the Social Sciences. Ed. William A. Darity, Jr. 2nd ed. Vol. 3. Detroit: Macmillan Reference USA, 2008. 581-583. Gale Virtual Reference Library. Web. 27 Mar. 2012.
“There are two concepts in electronic patient records that are used interchangeably but are different-the electronic medical record (EMR/EHR) and the electronic health record. The National Alliance for Health Information Technology (NAHIT) defines the EHR as the electronic record of health-related information on an individual that is accumulated from one health system and is utilized by the health organization that is providing patient care while the EMR accumulates more patient medical information from many health organizations that have been involved in the patient care. The Institute of Medicine (IOM) has been urging the healthcare industry to adopt the electronic patient record but initially
Retrieved from: Ashford University Library Boaden, R., & Joyce, P. (2006). Developing the electronic health record: What about patient safety? Health Services Management Research, 19 (2), 94-104. Retrieved from http://search.proquest.com/docview/236465771?accountid=32521.
The literature review is important to find credible, reliable, and relevant sources that fit the research problem. “To achieve its purpose, the literature review may examine issues of theory, methodology, policy, and evaluation that relate to the effectiveness of a policy or intervention” (Krysik & Finn, 2013, p.66). Annotated bibliographies and abstracts also provide information about different sources and this can be helpful for evaluating sources when doing a literature review. “An annotated bibliography includes a summary or evaluation of each of the sources” and when writing one it can help to establish if the sources used are relevant and apply to the research topic that is being investigated. (Stacks, Karper, Bisignani, & Brizee, 2013).
Thompson, A.A., Strickland, A.J., & Gamble, J. E. (2010). Crafting and executing strategy: The quest for competitive advantage: Concepts and cases: 2009 custom edition (17th ed.). New York: McGraw-Hill-Irwin
Over the past decade, technological advances have paved the way for nurses to provide, quality, safe, standardized and individualized patient care (Saba & McCormick, 2015). The use of the Electronic Health Records (EHR) to manage patient data is quickly becoming widespread in the healthcare industry. The emerging use of the Electronic Health Record, is transforming how nurses care for patients. By creating and implementing an electronic, comprehensive, standardized method of recording patient data, nurses can facilitate and coordinate patient care with members of the multidisciplinary healthcare team. The use of the Electronic Health Record will promote positive
of a firm to attain new forms of competitive advantage (Müller, 2011). It is due to these
...M. E. (2008). Competitive advantage: Creating and sustaining superior performance. New York: Simon and Schuster.
A different perspective of approaching competitive advantage is its relationship with different business models, the degree of innovation and the information systems present. A competitive advantage is imminent if the current strategy of a company is value adding and is not in the present moment being implemented by its would-be competitors. The sustainability of a competitive advantage
...tions are made in the light of the findings from the study survey outlined in these articles.