In search of information systems value : a case study of the EHR benefits realisation efforts of three Swedish hospitals.

The Swedish public health care organisation could very well be undergoing its most significant change since its specialisation during the late 19th and early 20th century. At the heart of this change is a move from using manual patient journals to electronic health records (EHR). EHR are complex integrated organisational wide information systems (IS) that promise great benefits and value as well as presenting great challenges to the organisation. The Swedish public health care is not the first organisation to implement integrated IS, and by no means alone in their quest for realising the potential benefits and value that it has to offer. As organisations invest in IS they embark on a journey of value-creation and capture. A journey where a costbased approach towards their IS-investments is replaced with a value-centric focus, and where the main challenges lie in the practical day-to-day task of finding ways to intertwine technology, people and business processes. This has however proven to be a problematic task. The problematic situation arises from a shift of perspective regarding how to manage IS in order to gain value. This is a shift from technology delivery to benefits delivery; from an ISimplementation plan to a change management plan. The shift gives rise to challenges related to the inability of IS and the elusiveness of value. As a response to these challenges the field of IS-benefits management has emerged offering a framework and a process in order to better understand and formalise benefits realisation activities. In this thesis the benefits realisation efforts of three Swedish hospitals within the same county council are studied. The thesis focuses on the participants of benefits analysis projects; their perceptions, judgments, negotiations and descriptions of potential benefits. The purpose is to address the process where organisations seek to identify which potential IS-benefits to pursue and realise, this in order to better understand what affects the process, so that realisation actions of potential IS-benefits could be supported. A qualitative case study research design is adopted and provides a framework for sample selection, data collection, and data analysis. It also provides a framework for discussions of validity, reliability and generalizability. Findings displayed a benefits fluctuation, which showed that participants’ perception of what constituted potential benefits and value changed throughout the formal benefits management process. Issues like structure, knowledge, expectation and experience affected perception differently, and this in the end changed the amount and composition of potential benefits and value. Five dimensions of benefits judgment were identified and used by participants when finding accommodations of potential benefits and value to pursue. Identified dimensions affected participants’ perceptions, which in turn affected the amount and composition of potential benefits. During the formal benefits management process participants shifted between judgment dimensions. These movements emerged through debates and interactions between participants. Judgments based on what was perceived as expected due to one’s role and perceived best for the organisation as a whole were the two dominant benefits judgment dimensions. A benefits negotiation was identified. Negotiations were divided into two main categories, rational and irrational, depending on participants’ drive when initiating and participating in negotiations. In each category three different types of negotiations were identified having different characteristics and generating different outcomes. There was also a benefits negotiation process identified that displayed management challenges corresponding to its five phases. A discrepancy was also found between how IS-benefits are spoken of and how actions of IS benefits realisation are understood. This was a discrepancy between an evaluation and a realisation focus towards IS value creation. An evaluation focus described IS-benefits as well-defined and measurable effects and a realisation focus spoke of establishing and managing an on-going place of value creation. The notion of valuescape was introduced in order to describe and support the understanding of IS value creation. Valuescape corresponded to a realisation focus and outlined a value configuration consisting of activities, logic, structure, drivers and role of IS.

On-line analytical processing with conceptual information systems

A conceptual information system consists of a database together with conceptual hierarchies. The management system TOSCANA visualizes arbitrary combinations of conceptual hierarchies by nested line diagrams and allows an on-line interaction with a database to analyze data conceptually. The paper describes the conception of conceptual information systems and discusses the use of their visualization techniques for on-line analytical processing (OLAP).

Numerical aspects in the data model of conceptual information systems

While most data analysis and decision support tools use numerical aspects of the data, Conceptual Information Systems focus on their conceptual structure. This paper discusses how both approaches can be combined.

Dual retrieval in conceptual information systems

Conceptual Information Systems provide a multi-dimensional conceptually structured view on data stored in relational databases. On restricting the expressiveness of the retrieval language, they allow the visualization of sets of realted queries in conceptual hierarchies, hence supporting the search of something one does not have a precise description, but only a vague idea of. Information Retrieval is considered as the process of finding specific objects (documents etc.) out of a large set of objects which fit to some description. In some data analysis and knowledge discovery applications, the dual task is of interest: The analyst needs to determine, for a subset of objects, a description for this subset. In this paper we discuss how Conceptual Information Systems can be extended to support also the second task.

Conceptual information systems discussed through an IT-security tool

Conceptual Information Systems are based on a formalization of the concept of "concept" as it is discussed in traditional philosophical logic. This formalization supports a human-centered approach to the development of Information Systems. We discuss this approach by means of an implemented Conceptual Information System for supporting IT security management in companies and organizations.

Reverse pivoting in conceptual information systems

In database marketing, the behavior of customers is analyzed by studying the transactions they have performed. In order to get a global picture of the behavior of a customer, his single transactions have to be composed together. In On-Line Analytical Processing, this operation is known as reverse pivoting. With the ongoing data analysis process, reverse pivoting has to be repeated several times, usually requiring an implementation in SQL. In this paper, we present a construction for conceptual scales for reverse pivoting in Conceptual Information Systems, and also discuss the visualization. The construction allows the reuse of previously created queries without reprogramming and offers a visualization of the results by line diagrams.

Multi-Robot Task Allocation for Inspection Problems with Cooperative Tasks Using Hybrid Genetic Algorithms

In dieser Dissertation werden Methoden zur optimalen Aufgabenverteilung in Multirobotersystemen (engl. Multi-Robot Task Allocation – MRTA) zur Inspektion von Industrieanlagen untersucht. MRTA umfasst die Verteilung und Ablaufplanung von Aufgaben für eine Gruppe von Robotern unter Berücksichtigung von operativen Randbedingungen mit dem Ziel, die Gesamteinsatzkosten zu minimieren. Dank zunehmendem technischen Fortschritt und sinkenden Technologiekosten ist das Interesse an mobilen Robotern für den Industrieeinsatz in den letzten Jahren stark gestiegen. Viele Arbeiten konzentrieren sich auf Probleme der Mobilität wie Selbstlokalisierung und Kartierung, aber nur wenige Arbeiten untersuchen die optimale Aufgabenverteilung. Da sich mit einer guten Aufgabenverteilung eine effizientere Planung erreichen lässt (z. B. niedrigere Kosten, kürzere Ausführungszeit), ist das Ziel dieser Arbeit die Entwicklung von Lösungsmethoden für das aus Inspektionsaufgaben mit Einzel- und Zweiroboteraufgaben folgende Such-/Optimierungsproblem. Ein neuartiger hybrider Genetischer Algorithmus wird vorgestellt, der einen teilbevölkerungbasierten Genetischen Algorithmus zur globalen Optimierung mit lokalen Suchheuristiken kombiniert. Zur Beschleunigung dieses Algorithmus werden auf die fittesten Individuen einer Generation lokale Suchoperatoren angewendet. Der vorgestellte Algorithmus verteilt die Aufgaben nicht nur einfach und legt den Ablauf fest, sondern er bildet auch temporäre Roboterverbünde für Zweiroboteraufgaben, wodurch räumliche und zeitliche Randbedingungen entstehen. Vier alternative Kodierungsstrategien werden für den vorgestellten Algorithmus entworfen: Teilaufgabenbasierte Kodierung: Hierdurch werden alle möglichen Lösungen abgedeckt, allerdings ist der Suchraum sehr groß. Aufgabenbasierte Kodierung: Zwei Möglichkeiten zur Zuweisung von Zweiroboteraufgaben wurden implementiert, um die Effizienz des Algorithmus zu steigern. Gruppierungsbasierte Kodierung: Zeitliche Randbedingungen zur Gruppierung von Aufgaben werden vorgestellt, um gute Lösungen innerhalb einer kleinen Anzahl von Generationen zu erhalten. Zwei Umsetzungsvarianten werden vorgestellt. Dekompositionsbasierte Kodierung: Drei geometrische Zerlegungen wurden entworfen, die Informationen über die räumliche Anordnung ausnutzen, um Probleme zu lösen, die Inspektionsgebiete mit rechteckigen Geometrien aufweisen. In Simulationsstudien wird die Leistungsfähigkeit der verschiedenen hybriden Genetischen Algorithmen untersucht. Dazu wurde die Inspektion von Tanklagern einer Erdölraffinerie mit einer Gruppe homogener Inspektionsroboter als Anwendungsfall gewählt. Die Simulationen zeigen, dass Kodierungsstrategien, die auf der geometrischen Zerlegung basieren, bei einer kleinen Anzahl an Generationen eine bessere Lösung finden können als die anderen untersuchten Strategien. Diese Arbeit beschäftigt sich mit Einzel- und Zweiroboteraufgaben, die entweder von einem einzelnen mobilen Roboter erledigt werden können oder die Zusammenarbeit von zwei Robotern erfordern. Eine Erweiterung des entwickelten Algorithmus zur Behandlung von Aufgaben, die mehr als zwei Roboter erfordern, ist möglich, würde aber die Komplexität der Optimierungsaufgabe deutlich vergrößern.

From Genetic Algorithms to Efficient Organization

The work described in this thesis began as an inquiry into the nature and use of optimization programs based on "genetic algorithms." That inquiry led, eventually, to three powerful heuristics that are broadly applicable in gradient-ascent programs: First, remember the locations of local maxima and restart the optimization program at a place distant from previously located local maxima. Second, adjust the size of probing steps to suit the local nature of the terrain, shrinking when probes do poorly and growing when probes do well. And third, keep track of the directions of recent successes, so as to probe preferentially in the direction of most rapid ascent. These algorithms lie at the core of a novel optimization program that illustrates the power to be had from deploying them together. The efficacy of this program is demonstrated on several test problems selected from a variety of fields, including De Jong's famous test-problem suite, the traveling salesman problem, the problem of coordinate registration for image guided surgery, the energy minimization problem for determining the shape of organic molecules, and the problem of assessing the structure of sedimentary deposits using seismic data.

Caracterización de la cultura organizacional y lineamientos de intervención para la implementación de procesos de cambio en las organizaciones. Caso empresa sector financiero

El presente Trabajo de Grado busca caracterizar la cultura organizacional de una empresa del sector Financiero en Colombia y realizar orientaciones de acciones para el cambio organizacional de acuerdo con la estrategia de perdurabilidad establecida por la Alta Dirección de dicha empresa. Para este fin, se realiza una cuidadosa revisión y actualización del estado del arte de los conceptos clave ¨Cultura Organizacional¨ y ¨Cambio Organizacional¨. Es de resaltar que para el primero de ellos, se toma como punto de partida el estado del arte sobre Cultura Organizacional realizado por el profesor Carlos Eduardo Méndez Álvarez y cuyo marco temporal abarca desde los orígenes del concepto en el siglo XIX hasta el año 2006. Asimismo, luego de una cuidadosa revisión de los Modelos de Cambio Organizacional existentes y de la realidad de la empresa objeto de estudio, se adopta el Modelo ADKAR que consta de cinco fases: Conciencia del Cambio, Deseo, Conocimiento, Capacidad – Habilidad y Refuerzo. Asimismo, a partir de la construcción de un fundamento teórico sólido y a través de la aplicación de la metodología para describir la Cultura Organizacional en Colombia MEDECO se busca una aproximación a la Cultura Organizacional de la empresa objeto de estudio con el fin de describir e identificar los rasgos predominantes de su cultura organizacional y entregar una propuesta final con los rasgos necesarios que alientan la consecución exitosa de los procesos de cambio.