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Introduction:
Managing the strategic information system has now become crucial for the contemporary organizations as it assists the enterprises to store and process the information they receive. The strategic information system also helps the organizations to recognize unexplored aspects for the businesses through application of the metrics and a number of analytical tools. As stated by Gupta (2015), use of strategic information system management tools enables the organizations to utilize their information repository in a more efficient way. In addition to the private organizations, the public entities also nowadays rely heavily on the strategic information system management. However, due to the huge amount of database, lack of accountability guidelines, privacy and security concerns, these entities often face a number of issues and challenges to manage the information system.
The electronic Health Information System of Australia is one such public information repository that stores and process huge amount of health related data of the Australian people (Alrc.gov.au. 2018). The information stored in this repository is accessed by the healthcare professionals across the country. The government utilizes AIS (artificial intelligence system) to utilize the a data more effectively. However, while managing the database, the Australia Government faces a number of issues related to the access decisions, data security and privacy issues. Similarly, Ramsay Health Care, is a global chain of health care organizations that also uses different applications of artificial intelligence to offer the patients with better services. This organization also encounter a number of issues related to data privacy and security while using the AIS. The current report deals with analysis and comparison among the issues faced by the two organizations.
The Australian Electronic Health Record (EHR), which was renamed as My Health Records in 2016, securely store the medical history of the individuals in the electronic form and share the data through the health network of the Australia (healthcareit.com.au, 2018). The EHR helps the healthcare professionals in Australia to view the medical information of a person collected through different devices together. Not only is the healthcare professionals, the information shared through the EHR accessed by the individuals also. The electronic health record is Australia aims at assisting the healthcare professionals in better decision-making by providing them with all the medical data of the patients. The current system allows each patient to have own EHR and update the information stored in it over time.
Previously, in Australia, the electronic health care record was being observed as an extension of the national Medicare services. However, over time, the electronic record is being more advanced with different applications of the AI. The recent version of My Health Record, in Australia, is more widely available and it can highlight the key data regarding the health history of an individual. Use of advanced chatbots to promote more effective communication with the patients with mental health issues is another notable application of AI in the national electronic health records (Cassidy, 2016). The use of AI is increasing in the records related to chronic and long-term conditions.
Ramsay Health Care is a global provider of health care services. In addition to Australia, the Ramsay Health Care operates in the UK, France and Indonesia (Fichman et al. 2014). The organization employs the advanced information system and the AI applications, to offer quality services through its network. The organization also gives important on enhancing the flexibility and the management expertise with the right use of information system. Apart from maintaining the electronic records for the patients, the Ramsay Health Care uses the Artificial Intelligence for news sharing among the health care professionals also (Li et al.2014). With the aim to provide the patients with better services, the Ramsay management uses the artificial intelligence to maintain collaboration among the hospital managers and the staffs. The organization also gives importance with keeping the staffs aware of the news relevant to their workplace. In short, the Ramsay management focuses on proper utilization of AI for maintaining the workplace integrity.
Issues faced by the Australian Government:
The electronic health information system in Australia has enabled the organizations to deliver better health services due to faster information sharing. However, extensive use of the electronic records posed a number of data security threats also (Zhang et al.2014). The issues that are encountered while planning strategically for the information system are:
Establishment of Governance Body to monitor the usage of electronic health records:
The electronic healthcare system store sensitive data regarding the individuals. Therefore, it needs to be ensured that the information is being accessed by the right person and is being used for the right purpose. To maximize effectiveness of the public health information system, gaining the trust of individuals is necessary; otherwise people would not be interested to share their information in the public repository (Galliers and Leidner, 2014). Presence of a governance body is crucial for developing trust and confidence among the people about the electronic healthcare system. However, the health information is shared by multiple users including the healthcare service providers, individuals and the professionals for multiple purposes. Therefore, developing a governance body and setting up clear guidelines on proper usage of the electronic healthcare records.
Controlling collection of information and operations:
The electronic health information system focuses on reducing the medication errors and assisting the healthcare professionals to take better decisions (Power et al.2015). It is evident that the maximum benefits from the health information system can be obtained only when the information stored in it is completely visible and accessible. However, the electronic record comprises of the sensitive information about individuals and so, the data stored here, needs to be accessed in a safe and secured way. Therefore, controlling the information access and operations is another challenge that the IT professionals face while managing the electronic healthcare strategically.
Selection of the right participants: The AIS in e-healthcare of Australia focuses on providing the citizens with quality healthcare services (Wager et al.2017). Therefore, it is crucial to ensure that the data stored in the record is accessible to throughout the entire health network of the country. However, again the maintaining the data confidentiality becomes a challenge for the strategic IT planners. To keep the sensitive health data regarding the patient confidential, controlling access to the electronic record is necessary. On the other hand, if the access of records is controlled, effectiveness of the electronic record can be affected. So, the strategic IT planners face problem to decide the right participants of the healthcare information system.
Limitations on personal information collection, correcting the information and disclosure of data:
To facilitate the right decision making, the data stored in the electronic healthcare system needs to be highly accurate. The electronic records require providing its users with the opportunities to modify the data to keep the information accurate and relevant (Alrc.gov.au, 2018). As the information stored in the national e-health system of Australia are highly sensitive, taking the right security measures is necessary while permitting the users to modify the data.
Sharing the data across the health network is crucial for making better decisions. However, disclosure of the sensitive data needs to be done with special care. Therefore, it is a challenge for the strategic IT planners to decide the right guidelines for collection, modification and disclosure of the data.
Remedies for improper usage of data:
Despite taking all the security measures, the chances of improper usage of the data cannot be eliminated completely . Therefore, it is important to have well-defined guidelines in case the health information of an individual is misused. However, while developing the remedies, the strategic IT planners need to ensure that the data disclosure and accessibility principles are not being violated. The IT planners also require ensuring that the remedies comply with the local legislations (Laudon and Laudon, 2015). Therefore, developing the remedies for improper use of data is another challenging task for the IT planners.
Misconception and chances of human rejection:
The misconception and chances of human rejection always need to be considered while implementing the artificial intelligence to deliver the healthcare services (Pearlson et al. 2016). Although artificial intelligence can perform a number of tasks that the human professionals can do, still most of the patients rely more on the human professionals. Therefore, it is necessary to utilize the artificial intelligence to the healthcare sector at the right level. In addition, before implementing the artificial intelligence to deliver services, developing the right idea on this latest technology among the patients is crucial. It needs to be ensured that the patients are confident about using this technology before implementing the AIS. As the AIS is one of the latest technological advancements, many patients may not be aware of it. Therefore, it is necessary to undertake suitable promotional programs for making the patients aware of this new technology.
Maintaining privacy of the individuals:
A key challenge in implementation of AIS in e-healthcare of Australia: The key challenge, that the strategic IT planners face while implementing AIS in the e-healthcare system of Australia, is maintaining confidentiality of the individuals (Alrc.gov.au, 2018). In the Australian Electronic Healthcare System, the artificial intelligence is primarily used for communicating with the patients with mental health issues and maintaining records for the patients with long-term and chronic diseases (Da et al.2014). Both the information need to be utilized by a number of parties. However, it is also necessary to ensure that the privacy of the individuals is not affected. Therefore, keeping the data accessible to multiple users across the health network without affecting the privacy of individuals is a challenge for the strategic IT planers.
Managing privacy in the electronic Health information Systems:
To keep management of the electronic health record systems simpler, the Australian Government focused on separating the databases. The Pharmaceutical Benefits databases and the Medicare Benefits database are two notable instances of the National Electronic Health Records. For keeping the huge amount of data manageable, the IT planners decided to separate these two databases. According to the principles of electronic health record system, a set of data needs to be used for the same purpose for which it was collected (Weaver et al.2016). Separation of the two databases ensures that the users are getting with exactly what they want. From the perspective of the users also, managing and utilizing the data became easier. However, in some circumstances, the data from the pharmaceutical benefit databases and the Medicare Benefits databases needs to be linked. The strategic IT planners specified such circumstances and the common encryption codes to make the two databases linkable.
Issues faced by the Ramsay Health Care:
Using Artificial intelligence is one of the key trends in the healthcare sector. Various applications of the artificial intelligence are now reshaping the healthcare industry (Kaur and Rani, 2015). In addition to managing the data regarding patients and sharing the information among all the concerned parties, the artificial intelligence can help the healthcare professionals to deliver better services. The ramsay management used artificial intelligence system for maintaining collaboration among the professionals working in different units of the network. The artificial intelligence help the professionals working in Ramsay Health Care, to message instantly, sharing news, and the employee perks. However, the artificial intelligence also help the Ramsay employees to shate group messages, social activities and achievements of the employees. The app with artificial intelligence is also used by the hospital managers to keep co-ordination with the hospital staffs. Despite all the advantages, implementation of the AIS in this organization, poses the following issues to the strategic IT Planners:
Data Security:
The Artificial Intelligence in Ramsay is used for instant messaging among the employees, keeping the employees aware of their benefits and perks, relevant information regarding the hospital and also for the co-ordination purpose. It is evident that the AIS deals with confidential data. However, discussion on the use of AIS in Ramsay indicates that the data is used by a number of users and therefore, maintaining the confidentiality becomes difficult. The information becomes more secured when it is accessed by limited number of people (Mai, 2016). As multiple users access the AIS data in Ramsay, the chances of losing confidentiality becomes higher. Hence, it is a challenge for the strategic IT planners to keep the data confidential without affecting its availability.
Technological Expertise and Investment: Presence of adequate capital and the technological expertise are the two keys of implementing artificial intelligence (Volk et al. 2014). Although use of artificial intelligence is beneficial for the organizations, getting the most out of it is not possible without the help of experts. However, tapping the technological resources with knowledge on artificial intelligence is difficult for the organization. In case of Ramsay management also, tapping the right resources for implementing the AIS successfully was challenging. The health network of the organization is spread globally including the developing countries like Indonesia. The advanced technology is not available in all parts of the network of Ramsay. Lack of parity among the technological expertise in all units of the organization also added to the challenge.
Changing the behavior of concerned parties:
Investments on the artificial intelligence yields the best value when all the parties associated with it, agree to use the technology fully (Dumais et al. 2016). However, AIS is a disruptive technology and therefore, everyone may not be ready to use it. In case of an organization, the employees require rigorous training to use the AIS. The agreeableness of the employees to use the cutting-edge technology plays a crucial role to enhance effectiveness of the AIS. In case of Ramsay, the artificial intelligence was used for maintaining smooth flow of communication among the employees. It is evident, that the way, the AIS established for communication among the organization is different than the previous system. Therefore, making the new system popular among the hospital staffs and guiding them to get the most benefits from the system is a challenge for the Ramsay management.
Accountability issues:
The data which is processed through the AIS app in Ramsay is a accessed and used by a number of individuals. However, the AIS are used in this organization, mainly for information sharing. Although a major part of the information, processed through the AIS, are shared publicly, still it is required to ensure that the data is not being used by anyone other than the concerned parties. Presence of the right guidelines to use of information, presence of a governance system for monitoring the use of information and having the remedies in response to inappropriate use of data is important for utilizing the AIS effectively. So, developing the guidelines to ensure proper use of data through AIS is also a challenge for the strategic IT planners.
The guidelines related to proper usage of data should comply with the local rules and regulations . the hospitals of Ramsay are available in different countries such as UK, Australia and Indonesia. All the three countries follow different policies regarding disclosure of data , privacy and security of the stored information. Therefore, making a centralized guideline to ensure proper usage of data increased the difficulty for strategic IS planners of Ramsay.
Comparing the issues:
Discussion on the use of AIS in Australian Healthcare system and the Ramsay Health Care indicates that both the organizations faced a number of issues. However, the extent to which the issues had influenced the strategic IS planning are different.
Data security:
It is one of the common issues that both the organizations faced while implementing the AIS system. The AIS system of the Australian healthcare system deals with the information regarding the patients with mental health issues , chronic and long-term diseases. The data is shared by a number of hospitals, healthcare professionals and the individual itself. The risk of data security increases when the data is accessed by large number of people (Avgerou and Walsham, 2017; Alrc.gov.au, 2018). Use of data by multiple users increase the risk of insider threats such as threats of data stealing, accessing the information by inappropriate person and the improper use of data. In case of the Australian Healthcare system also, the risk of confidentiality loss of the data is significantly high as it is available at multiple access points. On the other hand, the information shared through the AIS in Ramsay Healthcare Center is accessed by the employees only. The lower number of users has reduced the risk of insider threats in case of Ramsay Health Care. However, the security breaches due to external attacks cannot be nullified. In addition, the network of Ramsay is spread over a number of countries including Australia, UK and Indonesia. The type of security threats present in the three countries is different. It also increased the risk of external threats. Therefore, it can be concluded that the insider threats to the data security were more in case of the public electronic health repository of Australia whereas the Ramsay Health Care was at more challenging position in terms of the external security threats.
Keeping the large databases secured is more difficult (Hung et al. 2014). As the database becomes larger, managing the information becomes difficult and it, in turn, increases the risk of security breaches. Being a public system, the electronic health record system of Australia deals with the medical information of a major part of its population. As a result, the data is more vulnerable to the security risks. On the other hand, the AIS of Ramsay Health Care, deals with the information regarding its employees and the hospitals only. It is evident that Ramsay management has to deal with lower size of data in comparison with the Australian Health care system. It indicates that managing the information and ensuring the security is easier for Ramsay in comparison with the Australian Health Care system.
Development of governance body, remedial policies:
Being a public organization , the Australian Health care system focused on the national rules and regulations while developing the guidelines for proper data usage and setting up the remedial policies. However, the AIS healthcare database in Australia is accessed by a number of users and the strategic IT planners had to develop the governance policies keeping the interests of all the concerned parties in mind. Accessing the information from multiple points increase the difficulty for governance (Durst, 2017). In case of the Australian Healthcare system also, establishing the governance policies were difficult due to presence of multiple users.
The Ramsay Health Care operates in several countries. Therefore the strategic IT planners have to follow the rules and regulations of all the three nations while developing the governance policies and remedial measures for improper data use. However, the information related to AIS is accessed by the staffs of the hospitals only. Presence of limited access points makes data governance easier (Pearlson et al. 2016). In case of Ramsay also, limited accessibility of the information made development of the governance policies comparatively easier for the strategic IT planners. It can be concluded that high accessibility of the data made the development of governance policies difficult for the Australian Health Care system while the Ramsay management faced difficulties because of its presence in several countries.
Investment and technological expertise:
The Electronic Health record system Australia receives fund from the Government (Rodon and Silva, 2015). As the Australian Government considers that the electronic health care system can improve the health status of the Australian population, , it invests on advancement on the system. Therefore, the getting adequate fund is easier for the Australian Health Care as it is a government initiative. On the other hand , implementation of AIS systems requires significant amount of investments which may not be affordable to the private organizations always. However, investing on AI provides the organizations with long-term benefits. The Ramsay management also invests on the AIS because of its long term benefits. The technological expertise is not always available in the developing nations (Wager et al.2017). As the Ramsay operates in the developing nations, arranging for the technological resources is more difficult for it. On the other hand, being a public organization, the Australian Health Care system can easily tap into the resources available in Australia.
Misconception and Human rejection: AI being a latest technology is not known to many people. Therefore, the chances of misconception and human rejection are high in both public and private organizations. However, both the Australian Health system and Ramsay Health Care managed the issue successfully. As a result, the number of users in both Australian Healthcare system and Ramsay Health Care is increasing (Alrc.gov.au, 2018; ramsayhealth.com, 2018).
Conclusion:
The above discussion indicates that the public e-health system of Australia and the private organization, Ramsay Health Care encountered a number of issues while implementing the AIS. However, the huge size and accessibility of the data posed more challenges in case of the public health care system of Australia whereas the diverse network caused more issues in case of the private organization.
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