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The Strategic Application of Information Technology in Health Care Organizations, 3rd Edition

The Strategic Application of Information Technology in Health Care Organizations, 3rd Edition

John P. Glaser , Claudia Salzberg

ISBN: 978-0-470-93346-6

Feb 2011, Jossey-Bass

288 pages



This new edition of The Strategic Application of Information Technology in Health Care Organizations offers a peerless guide for health care leaders to understand information technology (IT) strategic planning and implementation. Filled with illustrative case studies, the book explores the link between overall strategy and information technology strategy. It discusses organizational capabilities, such as change management, that have an impact on an organization's overall IT effectiveness, and a wide range of IT strategy issues. The book covers emerging trends such as personalized medicine; service-oriented architecture; the ramification of changes in care delivery models, and the IT strategies necessary to support public health.

"Health information technology sometimes masquerades as an end in itself. The reality is that IT is a means to an end, an enabler of the strategic goals of health care organizations. This volume reminds us that shaping IT strategy and implementation to an organization's goals is the key to generating both economic returns and safer care for patients. You don't need an engineer to understand how to use IT to advance a health care organization's strategic agenda. You just need to read this book."— Jeff Goldsmith, PhD, president of Health Futures, Inc.

"In this time of health care reform, nothing is more front and center than health IT. This book is an exceptional blueprint for the future, with a focus on the essential measures of success for any system implementation." — Stephanie Reel, MBA, vice provost for information technology and chief information officer, The Johns Hopkins University

"In this book, the authors answer the question that every health care leader should be asking: How do we unlock the promise of health information technology and fundamentally reshape our industry?

This is a must-read for every person who wants to improve American health care." — David Brailer, MD, PhD, chairman of Health Evolution Partners

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Tables, Figures, and Exhibits.


The Authors.

1: An Overview of Strategy.

Definition of Strategy.

The Need for IT Strategy.

Areas of IT Strategy.

Strategy Considerations and Conclusions.

Characteristics of Strategic Thinking.

2: Linkage of IT Strategy to Organizational Strategy.

IT Planning Objectives.

Vectors for Arriving at IT Strategy.

A Normative Approach to Developing Alignment and IT Strategy.

Observations on IT Strategy Development.

3: The Information Technology Asset.

Asset Composition and Overview.

Application Systems.

Technical Architecture.


IT Staff.

The Chief Information Officer.

Observations on the IT Asset.

4: Information Technology-Centric Organizational Capabilities and Characteristics.

Managing Change.


Studies of Factors Contributing to Effective IT Use.

5: Strategy Considerations and Conclusions.

Complementary Strategies.

The Realization of IT-Enabled Value.

Strategy Evolution.

Governing Concepts.

The Competitive Value of Information Technology.

6: High Performance Medicine.

HPM Team 1: Investment in Quality and Utilization Infrastructure.

HPM Team 2: The Patient Safety Initiative.

HPM Team 3: The Uniform High-Quality Initiative.

HPM Team 4: Disease Management Initiative.

HPM Team 5: The Trend Management Initiative.

HPM Governance and Change Management.

7: Personalized Medicine.

Partners HealthCare Personalized Medicine and IT.

Framing the Strategic Response.

The Workflow Process.

The End Users.

Implementing the IT Strategy.

Enterprise IT.

Clinical Environment IT.

Research IT.

8: Service-Oriented Architecture for Electronic Health Records.

Framing the Strategic Response.

The Potential Value of SOA.

The Challenges of SOA.

Approaching the SOA Strategy.

The SOA Strategy.

9: Health Care Reform.

New Models of Care.

Payment Reform.

National and State Health Information Technology Initiatives.

The Effect of Health Care Reform on IT Strategy.

The Effect of Health Care Reform on the IT Asset.

The Effect of Health Care Reform on Governance.

10: Population Health.

Goals of Population Health.

Population Health and Health Care Providers.

The Effect of Population Health Interest on IT Strategy.

Disease Monitoring and Surveillance.

Chronic Disease.

Immunization Registries.

11: Synthesis of Information Technology Strategy.

IT Asset.

IT-Centric Organizational Characteristics and Capabilities.

Governing Concepts.

Complementary Strategies.

Strategy Evolution.

The Realization of IT-Enabled Value.

IT as a Way to Enhance Competitive Position.