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Published in: Journal of Digital Imaging 6/2011

Open Access 01-12-2011

A Situational Alignment Framework for PACS

Authors: Rogier van de Wetering, Ronald Batenburg, Matthijs Oudkerk, Peter van Ooijen, Sjaak Brinkkemper, Wim Scheper

Published in: Journal of Imaging Informatics in Medicine | Issue 6/2011

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Abstract

This paper reports the outcomes of a study on an integrated situational alignment framework for picture archiving and communication systems (PACS) labeled as PISA. Following the design research cycle, complementary validation methods and pilot cases were used to assess the proposed framework and its operationalized survey. In this paper, the authors outline (a) the process of the framework’ development, (b) the validation process with its underlying iterative steps, (c) the outcomes of pilot cases, and (d) improvement opportunities to refine and further validate the PISA framework. Results of this study support empirical application of the framework to hospital enterprises in order to gain insights into their PACS maturity and alignment. We argue that the framework can be applied as a valuable tool for assessments, monitoring and benchmarking purposes and strategic PACS planning.
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Footnotes
1
The project team consists of two professors and an associate professor of organization and information and business–IT alignment and a PACS/medical informatics researcher.
 
2
Statements for maturity level 1 and 2 for each organizational domain are omitted for practical reasons and due to the fact that all Dutch hospital have a PACS implemented (initial maturity level). Level 2 can be deducted from assigned scores to level 3 statements.
 
Literature
1.
go back to reference Buccoliero L, Calciolari S, Marsilio M, Mattavelli E: Picture, archiving and communication system in the Italian NHS: a primer on diffusion and evaluation analysis. J Digit Imaging 22(1):34–47, 2009PubMedCrossRef Buccoliero L, Calciolari S, Marsilio M, Mattavelli E: Picture, archiving and communication system in the Italian NHS: a primer on diffusion and evaluation analysis. J Digit Imaging 22(1):34–47, 2009PubMedCrossRef
2.
go back to reference Duyck P, Pynoo B, Devolder P, Voet T, Adang L, Ovaere D, et al: Monitoring the PACS implementation process in a large university hospital—discrepancies between radiologists and physicians. J Digit Imaging 23(1):73–80, 2010PubMedCrossRef Duyck P, Pynoo B, Devolder P, Voet T, Adang L, Ovaere D, et al: Monitoring the PACS implementation process in a large university hospital—discrepancies between radiologists and physicians. J Digit Imaging 23(1):73–80, 2010PubMedCrossRef
3.
go back to reference Van de Wetering R, Batenburg R, Versendaal J, Lederman R, Firth L: A balanced evaluation perspective: picture archiving and communication system impacts on hospital workflow. J Digit Imaging 19(Suppl 1):10–17, 2006PubMedCrossRef Van de Wetering R, Batenburg R, Versendaal J, Lederman R, Firth L: A balanced evaluation perspective: picture archiving and communication system impacts on hospital workflow. J Digit Imaging 19(Suppl 1):10–17, 2006PubMedCrossRef
4.
go back to reference Andriole KP, Khorasani R: Implementing a replacement PACS: issues to consider. J Am Coll Radiol 4(6):416–418, 2007PubMedCrossRef Andriole KP, Khorasani R: Implementing a replacement PACS: issues to consider. J Am Coll Radiol 4(6):416–418, 2007PubMedCrossRef
5.
go back to reference Huang HK: PACS is only in the beginning of being used as a clinical research tool. The 24th international EuroPACS conference; June 15th to 17th; Trondheim, Norway, pp 1–10, 2006 Huang HK: PACS is only in the beginning of being used as a clinical research tool. The 24th international EuroPACS conference; June 15th to 17th; Trondheim, Norway, pp 1–10, 2006
6.
go back to reference Cheung N-T, Lam A, Chan W, Kong J: Integrating images into the electronic patient record of the hospital authority of Hong Kong. Comput Med Imaging Graph 29:137–142, 2005PubMedCrossRef Cheung N-T, Lam A, Chan W, Kong J: Integrating images into the electronic patient record of the hospital authority of Hong Kong. Comput Med Imaging Graph 29:137–142, 2005PubMedCrossRef
7.
go back to reference Morin RL, Cecil RA: PACS archiving: a multivariate problem and solution. J Am Coll Radiol 3(1):69–73, 2006PubMedCrossRef Morin RL, Cecil RA: PACS archiving: a multivariate problem and solution. J Am Coll Radiol 3(1):69–73, 2006PubMedCrossRef
8.
go back to reference Quiles J, Souto TM, Pereira M, Tahoces PG, Vidal JJ: Technical considerations for multimodality clinical workstations in a Hospital PACS project. Int Congr Ser 1281:1010–1015, 2005CrossRef Quiles J, Souto TM, Pereira M, Tahoces PG, Vidal JJ: Technical considerations for multimodality clinical workstations in a Hospital PACS project. Int Congr Ser 1281:1010–1015, 2005CrossRef
11.
go back to reference Chan S: The importance of strategy for the evolving field of radiology. Radiology 224(3):639–648, 2002PubMedCrossRef Chan S: The importance of strategy for the evolving field of radiology. Radiology 224(3):639–648, 2002PubMedCrossRef
12.
go back to reference Kundel HL, Seshadri SB, Langlotz CP, Lanken PN, Horii SC, Nodine CF, et al: Prospective study of a PACS: information flow and clinical action in a medical intensive care unit. Radiology 199(1):143–149, 1996. 4/1PubMed Kundel HL, Seshadri SB, Langlotz CP, Lanken PN, Horii SC, Nodine CF, et al: Prospective study of a PACS: information flow and clinical action in a medical intensive care unit. Radiology 199(1):143–149, 1996. 4/1PubMed
13.
go back to reference Van de Wetering R, Batenburg RS: A PACS maturity model: a systematic meta-analytic review on maturation and evolvability of PACS in the hospital enterprise. Int J Med Inform 78(2):127–140, 2009PubMedCrossRef Van de Wetering R, Batenburg RS: A PACS maturity model: a systematic meta-analytic review on maturation and evolvability of PACS in the hospital enterprise. Int J Med Inform 78(2):127–140, 2009PubMedCrossRef
14.
go back to reference Henderson JC, Venkatraman N: Strategic alignment: leveraging information technology for transforming organisations. IBM Syst J 32(1):4–16, 1993CrossRef Henderson JC, Venkatraman N: Strategic alignment: leveraging information technology for transforming organisations. IBM Syst J 32(1):4–16, 1993CrossRef
15.
go back to reference Scheper WJ: Business IT alignment: solution for the productivity paradox (in Dutch). Deloitte & Touche, The Netherlands, 2002 Scheper WJ: Business IT alignment: solution for the productivity paradox (in Dutch). Deloitte & Touche, The Netherlands, 2002
16.
go back to reference Nolan RL: Managing the computer resource: a stage hypothesis. Communications of the Association for Computing Machinery 16(7):399–405, 1973CrossRef Nolan RL: Managing the computer resource: a stage hypothesis. Communications of the Association for Computing Machinery 16(7):399–405, 1973CrossRef
17.
go back to reference Galliers RD, Sutherland AR: Information systems management and strategy formulation: the ‘stages of growth’ model revisited. J Inf Syst 1(2):89–114, 1991CrossRef Galliers RD, Sutherland AR: Information systems management and strategy formulation: the ‘stages of growth’ model revisited. J Inf Syst 1(2):89–114, 1991CrossRef
18.
go back to reference Venkatraman N: The concept of fit in strategy research: towards verbal and statistical correspondence. Acad Manage Rev 14(No. 3):423–444, 1989 Venkatraman N: The concept of fit in strategy research: towards verbal and statistical correspondence. Acad Manage Rev 14(No. 3):423–444, 1989
19.
go back to reference Luftman J, Kempaiah R: An update on business–IT alignment: “A Line” has been drawn. MIS Quarterly Executive 6(3):165–177, 2007 Luftman J, Kempaiah R: An update on business–IT alignment: “A Line” has been drawn. MIS Quarterly Executive 6(3):165–177, 2007
20.
go back to reference King WR, Cleland DI: A new method for strategic systems planning. Bus Horiz 18(Number 4):55–64, 1975CrossRef King WR, Cleland DI: A new method for strategic systems planning. Bus Horiz 18(Number 4):55–64, 1975CrossRef
21.
go back to reference Chan YE, Reich BH: IT alignment: an annotated bibliography. J Inf Technol 22:316–396, 2008CrossRef Chan YE, Reich BH: IT alignment: an annotated bibliography. J Inf Technol 22:316–396, 2008CrossRef
22.
go back to reference Turban, McLean, Wetherbe: Information technology for management: making connections for strategic advantage. Wiley, Chichester, 1999 Turban, McLean, Wetherbe: Information technology for management: making connections for strategic advantage. Wiley, Chichester, 1999
23.
go back to reference Sledgianowski D, Luftman JR, Reilly RR: Development and validation of an instrument to measure maturity of IT business strategic alignment mechanisms. Information Resources Management Journal 19(3):18–33, 2006CrossRef Sledgianowski D, Luftman JR, Reilly RR: Development and validation of an instrument to measure maturity of IT business strategic alignment mechanisms. Information Resources Management Journal 19(3):18–33, 2006CrossRef
24.
go back to reference Andriole K, Luth DM, Gould RG: Workflow assessment of digital versus computed radiography and screen-film in the outpatient environment. J Digit Imaging 15(Suppl 1):124–126, 2002PubMedCrossRef Andriole K, Luth DM, Gould RG: Workflow assessment of digital versus computed radiography and screen-film in the outpatient environment. J Digit Imaging 15(Suppl 1):124–126, 2002PubMedCrossRef
25.
go back to reference Shannon RH: Computers and diagnostic radiology: the state of the art of meeting medical care objectives. J Med Syst 1(1):37–49, 1977PubMedCrossRef Shannon RH: Computers and diagnostic radiology: the state of the art of meeting medical care objectives. J Med Syst 1(1):37–49, 1977PubMedCrossRef
26.
go back to reference Fineberg HV, Bauman R, Sosman M: Computerized cranial tomography. Effect on diagnostic and therapeutic plans. JAMA 238(3):224–227, 1977PubMedCrossRef Fineberg HV, Bauman R, Sosman M: Computerized cranial tomography. Effect on diagnostic and therapeutic plans. JAMA 238(3):224–227, 1977PubMedCrossRef
27.
go back to reference Langlotz CP, Seshadri S: Technology assessment methods for radiology systems. Radiol Clin North Am 34(3):667–679, 1996PubMed Langlotz CP, Seshadri S: Technology assessment methods for radiology systems. Radiol Clin North Am 34(3):667–679, 1996PubMed
28.
go back to reference Van de Wetering R, Batenburg R: Defining and formalizing: a synthesized review on the multi-factorial nature of PACS performance. International Journal of Computer Assisted Radiology and Surgery 5(Supplement 1/June):170, 2010 Van de Wetering R, Batenburg R: Defining and formalizing: a synthesized review on the multi-factorial nature of PACS performance. International Journal of Computer Assisted Radiology and Surgery 5(Supplement 1/June):170, 2010
29.
go back to reference Hevner AR, March ST, Park J, Ram S: Design science in information systems research. MIS Quarterly 28(No. 1):75–105, 2004 Hevner AR, March ST, Park J, Ram S: Design science in information systems research. MIS Quarterly 28(No. 1):75–105, 2004
30.
go back to reference Van de Weerd I, Brinkkemper S: Meta-modeling for situational analysis and design methods. Idea Group, Hershey, 2008 Van de Weerd I, Brinkkemper S: Meta-modeling for situational analysis and design methods. Idea Group, Hershey, 2008
31.
go back to reference Kearns GS, Lederer AL: The effect of strategic alignment on the use of IS-based resources for competitive advantage. J Strateg Inf Syst 9:265–293, 2003CrossRef Kearns GS, Lederer AL: The effect of strategic alignment on the use of IS-based resources for competitive advantage. J Strateg Inf Syst 9:265–293, 2003CrossRef
32.
go back to reference Crowe B, Sim L: An assessment of the effect of the introduction of a PACS and RIS on clinical decision making and patient management at Princess Alexandra Hospital Brisbane, Australia. Int Congr Ser 1281:964–967, 2005CrossRef Crowe B, Sim L: An assessment of the effect of the introduction of a PACS and RIS on clinical decision making and patient management at Princess Alexandra Hospital Brisbane, Australia. Int Congr Ser 1281:964–967, 2005CrossRef
33.
go back to reference Batenburg RS, Versendaal JM: Business alignment in the CRM domain: predicting CRM performance. In: Leino T, Saarinen T, Klein S Eds. Proceedings of the 12th European conference on information systems. Turku School of Economics and Business Administration, Turku, 2004 Batenburg RS, Versendaal JM: Business alignment in the CRM domain: predicting CRM performance. In: Leino T, Saarinen T, Klein S Eds. Proceedings of the 12th European conference on information systems. Turku School of Economics and Business Administration, Turku, 2004
34.
go back to reference Liedtka JM: Formulating hospital strategy: moving beyond a market mentality. Health Care Management Review 17:21–26, 1992PubMed Liedtka JM: Formulating hospital strategy: moving beyond a market mentality. Health Care Management Review 17:21–26, 1992PubMed
Metadata
Title
A Situational Alignment Framework for PACS
Authors
Rogier van de Wetering
Ronald Batenburg
Matthijs Oudkerk
Peter van Ooijen
Sjaak Brinkkemper
Wim Scheper
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
Journal of Imaging Informatics in Medicine / Issue 6/2011
Print ISSN: 2948-2925
Electronic ISSN: 2948-2933
DOI
https://doi.org/10.1007/s10278-011-9368-z

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