The Electronic Journal of Information Systems Evaluation provides critical perspectives on topics relevant to Information Systems Evaluation, with an emphasis on the organisational and management implications
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Journal Issue
Volume 14 Issue 1, ECIME 2010 Special Issue / Jan 2011  pp1‑166

Editor: Miguel de Castro Neto

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Secret Level: Evaluation of a New Zealand Community ICT Project  pp1‑12

Barbara Crump, Keri Logan

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Alliance Decision Making of SMEs  pp13‑26

Karla Diaz, Ute Rietdorf, Utz Dornberger

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Georeferencing Road Accidents with Google Earth: Transforming Information into Knowledge for Decision Support  pp27‑36

Jorge Ricardo Ferreira, Joao Carlos Ferreira

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Organizational Challenges and Barriers to Implementing IT Governance in a Hospital  pp37‑45

Luis Velez Lapao

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Abstract

This paper describes the challenges and barriers to the introduction of “IT Governance” into a Hospital environment. It further addresses the relationship between corporate governance (hospital strategy and organization) and the role of IT Governance in managing new services deployment. Both ITIL and COBIT are introduced as a best practice for supporting Hospital Information Systems (HIS) management. IT Governance is an extensive framework; therefore we focused our study on ITIL Assessment combined with COBIT. The assessments were centered on IT Service Management, which, according to our findings, is being carried inefficiently in Hospital São Sebastião (HSS). We used both COBIT and ITIL assessment to audit and identify IT Governance weakness. These processes revealed a way to assist the organization at becoming aware about IT improvement priorities. The results were used to rethink HIS strategy in order to properly address the need to develop new health services like ambulatory surgery and connecting with out‑patients services. We used the IT Governance standard ISO/IEC 38500 to provide guiding principles for the effective use of IT according to Calder‑Moir framework. Starting with a COBIT assessment we identified IT management priorities and metrics, then we focused on the ITIL assessment steps. Finally, we applied the framework on both Service Desk and Incident Management processes. We analyzed the level of IT governance maturity and produce some recommendations to improve IT Service Management practices. The ITIL assessment identified existing gaps between the current organization practices and how the organization should perform according to ITIL, and what key actions need to be taken to close those gaps. At the end disclosed that IT Governance inefficiency is an important barrier to HIS management, mostly in IT service management which has a direct impact in users' daily work flow, and therefore on Healthcare services delivery. 

 

Keywords: IT Governance, hospital information systems, IT organization, COBIT, ITIL

 

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An Evidence‑Based Approach to Scoping Reviews  pp46‑52

Antonio Hidalgo Landa, Istvan Szabo, Liam Le Brun, Ian Owen, Graham Fletcher

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Enterprise Architecture Principles and their impact on the Management of IT Investments  pp53‑62

Kalevi Pessi, Thanos Magoulas, Mats-Ake Hugoson

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Information Inadequacy: Some Causes of Failures in Human, Social and Industrial Affairs  pp63‑72

Miranda Kajtazi, Darek Haftor, Anita Mirijamdotter

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Evaluating Information Systems according to Stakeholders: a pragmatic perspective and method  pp73‑88

Jenny Lagsten

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Medical Records System Adoption in European Hospitals  pp89‑99

Ana Marques, Tiago Oliveira, Sara Simoes Dias, Maria Fraga O. Martins

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Modified Early Warning Scorecard: The Role of Data/Information Quality within the Decision Making Process  pp100‑109

John O Donoghue, Tom O Kane, Joe Gallagher, Garry Courtney, Abdur Aftab, Aveline Casey, Javier Torres, Philip Angove

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Literature Review of Information Technology Adoption Models at Firm Level  pp110‑121

Tiago Oliveira, Maria Fraga Martins

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Evaluation of New Information Technologies Exposure on Knowledge Retention Regarding Benefits of Physical Activity on Health Status  pp122‑133

Paulo Pinheiro, Dulce Esteves, Rui Bras

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Supply Chain Information Alignment in the Consumer Goods and Retail Industry: Global Standards and Best Practices  pp134‑149

Virgil Popa, Mircea Duica

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A Visualization‑based Approach to Present and Assess Technical Documentation Quality  pp150‑159

Anna Wingkvist, Morgan Ericsson, Welf Lowe

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The SIGLIC System for Improving the Access to Surgery in Portugal  pp160‑166

Pedro Gomes, Luis Velez Lapao

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