Health information technology governance : a perspective on investment decision processes

Realizing value from IT investments continues to be a challenge for most healthcare organizations. IT governance (ITG) is envisaged to solve many of these challenges. ITG is the practice that establishes accountability framework for IT investments by allocating decision rights among major participants involved in IT decision processes. As ITG is relatively new in healthcare industry, it is expected that knowledge about how healthcare organizations govern their IT decisions is limited. This research aims to extend this knowledge and to assist both researchers and professionals by providing insights on how IT decisions are made and governed in healthcare organizations (HOs). This research adopts case-study methodology to investigate IT governance in two distinctly different HOs. The research findings indicate that HOs implement ITG to achieve alignment between business objectives and IT. Both HOs set up a five-stage IT decision process to identify, evaluate and prioritize IT investment ideas. They also established generic committee-structures that clearly defined roles and decision authorities to govern such process. It is suggested here that ITG in HOs is heavily influenced by strategic priorities, organizational structure, governance experience and governmental initiatives. Effective ITG in HOs is challenged by IT alignment, policy government, involvement of healthcare executives, and lack of business metrics to justify and evaluate decisions. The research proposes recommendations to address these challenges.

Creative geeks? Investigating creativity support systems for information technology students

This study investigated creativity and what factors can be conducive to a creative educational milieu. The results of this study highlighted the diverse nature of creativity, and substantiated the need for an audience specific ‘Creativity Support System’. An outcome was a model of creative needs specific for an educational setting

Understanding career aspirations of Information Technology students at Deakin University

Students need to develop informed and realistic career aspirations to gain the most from their university studies towards their initial career development. However developing their aspirations, goals, and expectations is a complex process. In Information Technology (IT) no clear career development framework is evident in the literature. We present a pilot study which investigates the career aspirations of novice students studying IT at an Australian University. Through a series of career activities their aspirations were explored with the aim of improving support for career development. Results indicate that students have no clear short- or long- term aspirations, yet believe that programming skills are key to achieve a career in IT.

Developing career aspirations of information technology students at Deakin University

It is important for students to develop informed and realistic career aspirations to gain the most value from their university studies towards achieving their initial career goals. However developing students’ career aspirations, goals, and expectations is a complex and discipline-specific process. In Information Technology (IT) no clear career development framework is evident in the literature. Recent research in Australia argues that electronic portfolios are a useful way for students to develop, articulate and document career objectives to enhance their employability. IT students at Deakin engage in formal training and assessment with respect to developing their professional skills and career understandings. Currently electronic portfolios feature as a useful method for evidencing professional competencies for employability. Through a combined quantitative and qualitative analysis of 306 students’ articulated current career aspirations, qualitative analysis of 7 staff opinions of desired student career competencies, and a quantitative analysis of 28 students’ current work personality traits assessments (Work Personality Index), this work presents an analysis of the current state of IT students’ career development. The results indicate that while students reported short-term career aspirations, navigating to their long-term career goals is going to require addressing difficult barriers such as confidence (self-perception) and motivation. This research will influence a larger program-wide endeavour to build student career competencies for employability in IT at Deakin University.

The role of Transaction Cost Economics in information technology outsourcing research : a meta-analysis of the choice of contract type

Two recent reviews report that the empirical findings in information technology outsourcing (ITO) research are frequently inconsistent with the prevailing dominant analytical framework of transaction cost economics (TCE). While employing similar methodologies, the two reviews propose different strategies to resolve the inconsistencies. One is to improve the methodological rigor, specifically, the operationalization of TCE constructs. The other is to abandon TCE in favor of a new analytical framework. This paper presents a meta-analysis of the empirical findings on the choice of contract type as a function of task uncertainty. The results support both strategies. Refining the operationalization of TCE constructs, specifically of task uncertainty, would have improved the reliability of findings on TCE-based relationships between task uncertainty and the choice of contract type. However, independent of such methodological improvements, TCE is of limited relevance in recent ITO research for predicting the choice of contract type. Generalizing these findings, we conclude that ITO research requires a new analytical framework to further develop the theory of ITO and to provide sound guidance to the ITO industry.

The effect of mobile technology usage on work engagement and emotional exhaustion in Japan

Researchers have repeatedly found that the use of mobile technology (MT) in the West is a double-edged sword that produces both positive and negative psychological experiences for employees. MT blurs the boundaries between work and non-work contexts, limiting employees' personal space and time as a result, and possibly having a negative impact on their work engagement. Our findings in Japan, however, were different. Japanese workers' total MT usage (i.e., during office and non-office hours) had a positive impact on their work autonomy, which, in turn, led to greater work engagement. Emotional exhaustion was not related to MT usage. The findings from this study imply that MT can result in positive psychological experiences for employees and present some managerial implications for boundary conditions.

An analysis on the utilisation of health information technology to support clinical operation of chinese medicine

Chinese Medicine (CM) has become increasingly demanding globally. Recent World Health Organisation traditional and complementary medicine strategy of integrating CM to Western Medicine (WM) indicates that it is crucial that CM developments have strong literature, scientific, and evidence-based medical approval and support. To achieve this, there is a need to form a synthesis foundation or platform for future studies. This chapter serves to discover this synthesis that is suitable for CM by discussing the basics of inquiring and Knowledge Management (KM) systems. It suggests that CM should follow a combination of Hegelian and Kantian inquiring systems with the support of Singerian and Leibnizian inquiring systems and KM features. This proposed synthesis is one of the first, if not the first study to apply Churchman's inquiring systems into the context of CM and differentiate them from WM.

Exploring differences between smaller and large organizations' corporate governance of information technology

Corporate governance of information technology (CGIT) is targeted at maximizing IT investment to achieve business objectives and value. Yet there is little empirical evidence about organizations' attitudes to and use of CGIT to deliver such value, or the role of related policies, practices, frameworks and methodologies. This study explored the views of Chief Information Officers and executive managers of smaller and large, primarily Australian organizations, regarding governance of IT. Through a survey, we investigated their views regarding the perc eived relevance, influential drivers, challenges and perceived benefits from the use of CGIT. Regardless of organizational size, our findings demonstrate substantially the same benefits, influences and challenges. Further, besides the widely acknowledged importance of strategic alignment of business and IT, risk management was found to be significant both in influencing the decision to adopt CGIT and as a perceived key capability for delivering improved organizational performance and resource-based value. As such, the study contributes new knowledge related to delivering business value through governing IT.