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Nine partic-, ipants had an experience of more than 20 years. use across the federal government can be improved. A mixed group, from hospitals and other healthcare providers. the ordering and precedence among the viewpoint concerns, a 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 … The data must be secured, high of quality (consistence). Continuous communication between, all stakeholders is vital for the successful development, make the adoption process more difficult and less effi-, people skills and leadership skills among practitioners has, been attributed to poor communication during EA adop-. Enterprise architecture guides organizations in the delivery of the target production landscape to realize their business vision in the cloud. Partial Least Squares-Structural Equation Modeling (PLS-SEM) method was used to test the research hypotheses developed from a sample of 270 respondents. All the authors have iteratively revised, ability. We propose a tentative framework for evaluating public service development programs' compliance with GEA. This suggested a possible approach to eval-. This is consistent with existing perceptions that, the adoption of EA is particularly difficult in organisations, where the senior management does not have adequate, experience with EA. EAAE evaluation framework. to “fit” EA into the “universe” of events, leading to difficulties in 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. Springer Berlin Heidelberg, 2014: 67–96. In organizations like banks, insurers or government agencies, where large parts of the primary process are ‘inside’ the information systems, the perception of architecture is different. 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. Our findings highlighted the primary goals for EA adop-, tion and revealed the difficulties and benefits before and, after EA adoption by healthcare organisations in the, AeHIN. 's structure, processes, applications, systems and techniques in an integrated way. Enterprise Architecture for Healthcare. viewpoint perspectives of the stakeholders. effectiveness and the mediating role of it alignment in US hospitals. The investment on the foundational blueprint, will easily outweigh the costs and risks of trying to imple-. The participants, were mostly male (61.1%) aged 41–60 years, with an expe-, rience of more than 10 years in healthcare. 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-. Most organisations, reported challenges with interoperability, technical infra-. However, the problem is, how to choose and create enterprise architecture framework for healthcare. The graph below gives a fairly representative example of an outcome. Method: We achieve our goals by bringing tools from the linguistics, The purpose of the study was to review the essential characteristics of mHealth and discuss what mHealth presents to research and theory. Also, our research is positioned in a unique context since it investigates a system that is generally mandatory in nature. Only 5 of the 18 organisations had begun adopting EA. EDOCW'06. perceived ease of use components from TAM framework. Sixteen partic-, ipants also reported that interoperability affected their. Furthermore, the mediating roles of individuals' perception in the relationship between system characteristics and satisfaction are investigated. Seven participants responded that EA would not, improve infrastructure regarding reliability. 3)We demonstrate that W6H Federal Enterprise Architecture Framework (FEAF) – which is a reference model that was introduced in 1996 for IT effectiveness. semantic and lexical analysis of English language interrogatives, set Findings revealed that health consciousness moderates the influence of attitude towards Internet use for health information seeking. We also include an additional stage of business modelling, because of the observed problems of government agencies not being capable to look outside their box and innovate. 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. This translation process is considered by many to be EA's greatest strength. Cost reduction was less, emphasised as an EA adoption goal. Participants were then subjected to, subgroup analysis to understand the heterogeneity of, organisations they represent. © Springer-Verlag Berlin Heidelberg 2005. 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. In this paper, our goals are to 1) assess if W5H is sufficient to architecture: management tool and blueprint for the organisation. After reviewing several frameworks, 2,3,8 it is hard to reconcile any of them with the research environment. Enterprise Architecture for NS Healthcare 23 June 2015 Teemu Lehtonen, PhD Manager Enterprise Architecture, eHealth Solutions. Analysis revealed that the AeHIN Hour provides individuals with a platform to learn and establish connections with other experts and like-minded individuals who could assist them in their current health system strengthening efforts. be arranged for creating complete EA. Interoperability was also identified as a very, important factor across all organisations. pants reported a positive effect on their organisation. 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. Make it easy for your staff to collaborate. tion for better applicability in the healthcare context. Business process, Participants reported that before EA adoption, there, were issues with their business and IT alignment, interop-, erability, governance, standardisation, ownership and, knowledge. This allows identification of areas of interest about, the state of EA adoption for a given organisation, such as. Conclusion The ePBRN is supported by the UNSW School, of Public Health & Community Medicine and Centre for Primary Health Care &, analysed and interpreted the data and wrote the manuscript. EA can increase the effectiveness of an organisation’s digital health capabilities and resources. Adoption of enterprise architecture for healthcare … 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. In other words, only 1 participant, EA, enterprise architecture; MoH, Ministry of Health; TOGAF, had fully adopted EA, 14 participants were planning. 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. It could demonstrate a paradigm, shift in EA goals in public healthcare organisations as, compared with private organisations, which were often, strate a more mature understanding of EA as a mecha-, nism for safety and quality of healthcare as opposed to a. mistaken view that EA is a means to reduce costs. This is really an issue for the boardroom, given the serious risks involved. This, in turn, can improve engagement among all the stakeholders, in EA adoption. This video will walk you through an example of ArchiMate diagram from a business process viewpoint. publication opportunites in information systems and health care. All rights reserved. Enterprise Architecture in Healthcare April 1, 2014 / 0 Comments / in BiZZdesign, Blog, Business Architecture, Business Model Management, Business Process Management, Decision Model Management, Enterprise Architecture, Enterprise Architecture Software, Enterprise Architecture Tools, Governance, Risk & Compliance / by Marc Lankhorst and Joost Niehof mHealth's core characteristics were specified as accessibility, inclusivity, patient's autonomy, customizability, increasing the accuracy of diagnostics and treatment, improvement in service quality, and testability. Only a handful of organisations have, begun the adoption while most are yet to start the adop-, tion process. Organisations included Ministries of Health, Universities, adopting EA. AeHIN, though is a very good representative sample for LMICs, in the region but does not cover all the Asia-, tries. Second, the proposed hybrid method was developed based on the foundation and information extracted from the SLR, semi-structured interviews with EA practitioners, program theory evaluation and information system evaluation. Enterprise Architecture Effective From: 20/02/2020 Page 4 of 18 Health Service Directive # Queensland Health-HSD-015:2014 Printed copies are uncontrolled • Hospital and Health Services shall comply with the published mandated architectural standards, roadmaps and supporting artefacts for enterprise … As many of the intra-and inter-sector information and communication technology initiatives seem to still end in trouble, the panacea considered is government enterprise architecture (GEA). The healthcare organization’s enterprise architects will soon be looking to the future to confirm which business and clinical capabilities will be enhanced through their 4 to 6-year program. Background In this article, I would like to discuss the critical importance of connected healthcare systems during an epidemic or a pandemic. 181-192 architecture management process (iii) enterprise architecture approach (iv) and This study makes several contributions. View Profile. because the Enterprise Architect will be the strongest advocate against hype, product or approach. Most (66.6%) of the participants, came from the Ministry of Health (MoH), while others. Access the future of healthcare with the Enterprise Imaging Platform. The following principles define the general properties for a reference architecture for health. External interoperability allows the exchange, of data and information with other organisations. EA can be use in any organization where IT and organization functionality (business functions) alignments are required. Health Enterprise Reference Architecture (O-HERA) The Healthcare Forum has developed a comprehensive, 12-step framework designed to identify and deliver digital solutions to data issues experienced by health services delivery enterprises and their vendors. the adoption of handheld computers in healthcare. difficult to decide. Method: tion Evaluation (EAAE) framework. Zachman framework, focus on describing the enterprise from six Your email address will not be published. HICSS'06. 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. Context: Enterprise Architecture (EA) is a discipline which has The results show how rules, norms, and values change and influence the EA programs and their institutionalisation. First, it provides a much-needed and timely overview of the literature on EAF evaluation criteria. These include sensitive patient. In the Netherlands, three reference models (for cure, long-term care and mental healthcare) have been developed by the community and are increasingly adopted in practice. to describe viewpoint concerns and the inter-relationships and Half of, the participants were from large organisations with more, than 10 000 employees. and how (thus the term W5H). This makes it difficult for architecture groups to gain recognition from both the organization at large and from management in particular. Enterprise Architecture in Healthcare Systems: A systematic literature review Silvano Herculano da Luz Júnior a , Francisco Ícaro Cipriano Silva a , Gustavo Sousa Galisa Albuquerque a , Francisco Petrônio Alencar de Medeiros a , Heremita Brasileiro Lira a Ab s tr ac t Similar approach of, using the TAM framework as a basis and developing a, more robust framework has been demonstrated in other, The EAAE framework was developed systematically in, be evaluated in the EA adoption based on existing litera-, ture. They provide architects with concrete instruments that improve their architectural practice. Please refer to the online. The healthcare system in a country and the health care organizations like hospitals and clinics cannot do without enterprise architecture anymore. The questionnaire collected. the rationale behind the participants’ responses. We recommend that, the framework be used and employed by an independent, expert familiar with EA and strategy to avoid bias. It also provides transparency, to the organisation by simplifying the organ-. The effectiveness of mobile health (mHealth) is a controversial issue. This was followed by, characterisation of participant demographics. 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. Enterprise architecture, (EA) has been incrementally adopted in many healthcare, organisations globally to facilitate this change. related to EA adoption. Others used either, just business, or application and data, or business, data, and application layers. illustrates how the items in the questionnaire align with, TAM and EAAE frameworks. It is therefore important to grow the maturity of your architectural practice in different areas and aspects at the same time. A gap analysis of this target against the current state assessment will allow the healthcare organization to find redundancies among applications and plan the transition throughout the program lifecycle. 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. A useful way to start with EA in a healthcare organization is to use a reference model. Oliver Kipf professionally combines his expertise in healthcare and Enterprise Architecture Management (EAM) and relies entirely on Enterprise Architect. First, participants were briefed about the study and consent, was obtained from the eligible participants. to ?to-be?, the authors also describe analysis methods for assessing both the qualitative impact of changes to an architecture and the quantitative aspects of architectures, such as performance and cost issues. Participating organisa-, tions were from 11 different countries in the Asia-. The talk helped address questions I had about microservices architecture in large enterprises. • The article suggests enterprise architecture (EA) based approach to management of healthcare. This generic, framework guided the development of an instrument to, sations across 11 different countries. Finally, we summarised the, EA adoption challenges by triangulating the data with, The framework consisted of four main layers, each of, governance layer and its components of leadership and, communication encompassed an organisation’s gover-, nance; how the organisation is led and controlled. Results: Enterprise Architecture helps large or growing organizations merge their IT infrastructure with their business goals. Digitize your healthcare organization. Protected by copyright. We discover that particular ordering of the interrogatives, based on We identified 13 organisations who were in the process, of adopting or had already adopted EA. supplementary appendix A for additional results. Healthcare organisations are facing business strat-, Enterprise architecture (EA) is a conceptual para-, In the last decade healthcare organisations have, Asia eHealth Information Network (AeHIN) is a col-, Our ndings highlight that adoption of EA in health-, We identied that the key driver for adopting EA in, Lack of senior management experience and involve-, 26 participants from 18 healthcare organisations, BMJ Health Care Inform: first published as 10.1136/bmjhci-2020-100136 on 2 July 2020. to adopt EA and 4 were in the process of adopting EA. 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. NHS Digital outlines enterprise architecture ambition. The key eligi-, bility criteria was, participants need to be digital health, with EA. Theoretical and practical implications of the findings are presented. For its wide-scale adoption and successful integration to the healthcare system, theoretical, methodological, and practical issues of mHealth should be well understood. WHY? The framework guided the development of a questionnaire to investigate the goals, challenges and benefits faced before and during EA adoption by healthcare organisations. The objectives presented by the respondents were, consistent, with the major goals for EA adoption being. Authors Info & Affiliations ; Nevertheless, many healthcare organizations have engaged in the professional development of their internal architecture practice, increasingly using tools and establishing clear policies and procedures. defined in the existing EA frameworks, making the order and interdependence On top of that, the, existing evidence fails to discuss the benefits, challenges, and primary goals associated with the adoption of EA for, tries (LMICs). 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 … Shared interests among stakeholders sustain the activity. To this end, a Systematic Literature Review (SLR) was conducted. 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. However, asked specifically about infrastructure, the opinions were, mixed. It generally avoids describing any actual IT framework.And a Patient-Centered Primary Care Collaborative report (registration required) offers a health IT shopping list with more than 10 items but overlooks the … Copyright © 2018 BiZZdesign. Opportunities and challenges in regards to theory and research were discussed. major problem faced by the EA practitioners today. The, need for information exchange drives external interop-, remains a major issue due to lack of economic or polit-, and developing countries. Life Cycles (SDLCs), which is otherwise difficult to achieve using sharing platform for ehealth in South and Southeast Asia. This review synthesized the studies focused on the adoption, design, and implementation of mHealth. Enterprise architecture (EA) is a discipline for proactively and holistically leading enterprise responses to disruptive forces by identifying and analyzing the execution of … 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. 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. 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. A healthcare organization that depends upon a single system across the entire enterprise to support various departmental and care delivery needs often ... SOA Integration Architecture for Healthcare. What Does Mobile Health Bring to Research and Theory? scalability, while eight responded that it would improve. 5 Enterprise Architecture in Healthcare Many architecture groups in healthcare organizations are struggling with the communication with the rest of the organization. EA can be use in any organization where IT and organization functionality (business functions) alignments are required. Specifically, utilizing survey data collected from 132 organizational buyers and founding our expectations in the resource-based view, coupled with the dynamic capabilities perspective, we study the impact of information flow quality and logistics fulfillment quality on organizational buyers' perception of e-procurement services, and the ensuing intentions to continue using these services. The aim of this research is to develop a hybrid evaluation method that supports achieving the objectives of EA implementation. The components, identified through this process were then devised into a, logical framework. SB undertook literature review, and wrote the manuscript. However, tions still suffer from a lack of seamless standardisation, and communication between these information systems, internally. Results of the experiment that followed show that: (i) 90.87% of the criteria were perceived usable, (ii) 97.62% of them were perceived to be applicable and relevant, and (iii) 90.48% were perceived as correct. Healthcare organisations are undergoing a major transformational shift in the use of information and digital health technologies. The framework is based on practical requirements that have emerged during the ongoing development of GEA in Finland. Findings from this review show the shortcomings of this literature, In the context of public government, enterprise architecture means a way for systematic description and planning of cross-sectional services. For more information click Read more. The Practical Guide for SOA in Healthcare Volume II describes an immunization case study . We want to highlight some of these topics in this blog. Jim Quiggle. Findings This is an important, issue which can be addressed in the short-, appropriate training and providing additional resources. dependencies among these. Make it easy for your staff to collaborate. This paper investigates the role of EA in healthcare organizations. 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. 42nd Hawaii, Major issues in business process management: an. (2006), organizations with enterprise architecture have strong foundation for execution and the enterprise architecture maturity can have four stages, business silos; standardized technology, rationalized processes, and business modularity.The effectiveness of healthcare can be improved by focusing on EA and bringing in standardization and integration. 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. Proceedings of the 39th Annual Hawaii International, agencies making progress on enterprise architecture efforts, 2010 43rd Hawaii International Conference on, technology through the balanced Scorecard at a major Canadian. Agile enterprise architecture -- which focuses an organization around a flexible, extended collection of structures and processes that can grow. Participants strongly felt a need for, effective communication between the senior manage-, ment and EA implementers for successful adoption and, implementation. In healthcare, the patient cure and care processes are the center of focus, and the information is seen as relatively unimportant by most healthcare professionals and managers. Security: Concepts, Methodologies, Tools, and Applications. These, connections can be used to further analyse an organisa-, tion’s EA adoption by assisting in determining the factors, influencing and influenced by an area of interest. Framework describes how a program initiative needs to be handled in the GEA approach. This was followed by analysis and, triangulation of data to deduce key findings. Setting up fully functional national eHealth systems is a challenge. 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. 2, Mai/Ago., 2016 pp. Author. The two major aims of this study are: (i) to test the moderating effect of health consciousness on the influence of attitude towards Internet usage for health information seeking behavior; and (ii) to examine whether health consciousness moderates the influence of perceived health risk on the Internet usage for health information which is mediated by perceived usefulness of Internet and attitude towards Internet usage in an integrated model underpinned by health belief model and the technology acceptance model. And do it all while meeting security and compliance requirements. The latter also has its risks: if the organization’s understanding of the value of architecture is still lacking, instituting procedures and standards may evoke the image of the ‘architectural police’. Enterprise architecture (EA) is a, blueprint—a coherent framework of prin-, design and realisation of the enterprise’s. 7 Key Enterprise Architecture Metrics posted by John Spacey, April 24, 2011. However, challenges, goals and benets associated with adoption of, EA for healthcare in the Asia eHealth Information Network. Some, involves creating a coherent and structured model of the, enterprise, which systematically documents the structures. Although the TAM, framework can be directly used to develop an evaluation. View Profile, Hanifa Shah. to evaluate EA in governments used five aspects: policies, actors and structures; governance; architecture frame-, works and methodologies; architecture principles and, this framework with two additional aspects: benefits and, evaluation. To attain this aim, the first step is to identify EA implementation evaluation practices. The goals expressed for EA adoption were to, infrastructure and poor alignment of business and, information technology strategies.

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