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Qualitative Analysis of Round-Table Discussions on the Business Case and Procurement Challenges for Hospital Electronic Prescribing Systems

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  • Kathrin M Cresswell
  • Ann Slee
  • Jamie Coleman
  • Robin Williams
  • David W Bates
  • Aziz Sheikh

Abstract

Objectives: There is a pressing need to understand the challenges surrounding procurement of and business case development for hospital electronic prescribing systems, and to identify possible strategies to enhance the efficiency of these processes in order to assist strategic decision making. Materials and Methods: We organized eight multi-disciplinary round-table discussions in the United Kingdom. Participants included policy makers, representatives from hospitals, system developers, academics, and patients. Each discussion was digitally audio-recorded, transcribed verbatim and, together with accompanying field notes, analyzed thematically with NVivo9. Results: We drew on data from 17 participants (approximately eight per roundtable), six hours of discussion, and 15 pages of field notes. Key challenges included silo planning with systems not being considered as part of an integrated organizational information technology strategy, lack of opportunity for interactions between customers and potential suppliers, lack of support for hospitals in choosing appropriate systems, difficulty of balancing structured planning with flexibility, and the on-going challenge of distinguishing “wants” and aspirations from organizational “needs”. Discussion and conclusions: Development of business cases for major investments in information technology does not take place in an organizational vacuum. Building on previously identified potentially transferable dimensions to the development and execution of business cases surrounding measurements of costs/benefits and risk management, we have identified additional components relevant to ePrescribing systems. These include: considerations surrounding strategic context, case for change and objectives, future service requirements and options appraisal, capital and revenue implications, timescale and deliverability, and risk analysis and management.

Suggested Citation

  • Kathrin M Cresswell & Ann Slee & Jamie Coleman & Robin Williams & David W Bates & Aziz Sheikh, 2013. "Qualitative Analysis of Round-Table Discussions on the Business Case and Procurement Challenges for Hospital Electronic Prescribing Systems," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-10, November.
    • Handle: RePEc:plo:pone00:0079394
    DOI: 10.1371/journal.pone.0079394
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    References listed on IDEAS

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    1. Salzmann, Oliver & Ionescu-somers, Aileen & Steger, Ulrich, 2005. "The Business Case for Corporate Sustainability:: Literature Review and Research Options," European Management Journal, Elsevier, vol. 23(1), pages 27-36, February.
    2. William H. DeLone & Ephraim R. McLean, 1992. "Information Systems Success: The Quest for the Dependent Variable," Information Systems Research, INFORMS, vol. 3(1), pages 60-95, March.
    3. Kathrin Cresswell & Jamie Coleman & Ann Slee & Robin Williams & Aziz Sheikh & ePrescribing Programme Team, 2013. "Investigating and Learning Lessons from Early Experiences of Implementing ePrescribing Systems into NHS Hospitals: A Questionnaire Study," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-10, January.
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    1. Hajar Mozaffar & Robin Williams & Kathrin Cresswell & Zoe Morison & Ann Slee & Aziz Sheikh Team & the ePrescribing Programme, 2014. "Product Diversity and Spectrum of Choice in Hospital ePrescribing Systems in England," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-11, April.
    2. Denise M. Kennedy, 2019. "Managing the Mayo Clinic brand: a case study in staff-developed service performance standards," Journal of Brand Management, Palgrave Macmillan, vol. 26(5), pages 538-549, September.
    3. Rashid Maqbool & Mohammed Rayan Saiba & Ayman Altuwaim & Yahya Rashid & Saleha Ashfaq, 2023. "The influence of industrial attitudes and behaviours in adopting sustainable construction practices," Sustainable Development, John Wiley & Sons, Ltd., vol. 31(2), pages 893-907, April.

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