A balanced evaluation perspective: picture archiving and communication system impacts on hospital workflow
Open accessAbstract
Around the world, hospitals are faced with both budget and regulatory pressures, forcing them to re-examine the way clinical practice is carried out. Proposed technologies that provide workflow enhancements include Picture Archiving and Communications Systems (PACS); however, is PACS really effective in improving hospital workflow and the flow onto patient care, and how should this be evaluated? An acknowledged and successful approach for organizational evaluation is the Balanced Scorecard (BSC), providing the fundamental features for assessing organizations from various perspectives. In this research, the impact of PACS on the workflow of a large public hospital in Melbourne, Australia, is examined using an adapted version of the BSC. Empirically, this model was applied as an evaluation instrument through a series of in-depth interviews with PACS users. Results show that PACS did improve hospital workflow considerably and that the organizational alignment of PACS in hospitals is an important critical success factor.
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Alignment theories suggest that as long as a telemedicine system contributes to the achievement of HCO objectives following defined strategic plans, it can be aligned with hospital strategy and its long-term set-up will be possible.
“Alignment theories suggest that as long as a telemedicine system contributes to the achievement of HCO objectives following defined strategic plans, it can be aligned with hospital strategy and its long-term set-up will be possible.”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [28]
The alignment of new information systems with the objectives of Health Care Organizations (HCO) is a key factor for their introduction and long-term success.
“The alignment of new information systems with the objectives of Health Care Organizations (HCO) is a key factor for their introduction and long-term success.”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [28]
Alignment of information technology systems with organizational and business strategies in hospitals is a critical key factor in the successful long-term implementation of a telemedicine system.
“Alignment of information technology systems with organizational and business strategies in hospitals has been identified as a critical key factor in the successful implementation (long-term set-up) of a telemedicine system [27,28].”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [28]
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- Authors
- van de Wetering, R., Batenburg, R., Versendaal, J., Lederman, R., & Firth, L.
- Affiliations
- Utrecht University (NL)
- The University of Melbourne (AU)
- Corresponding author
- Batenburg, Ronald
- Venue
- Journal of Digital Imaging
- Published
- 2006-06-14
- Volume
- 19
- Issue
- S1
- Pages
- 10-17
- ISSN
- 0897-1889 (ISSN-L)
- 1618-727X
- PMC
- PMC3045172
- OpenAlex
- W2109290891
- Cited by
- 41
- References
- 23
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 3 · 2017: 1 · 2016: 5 · 2015: 1 · 2014: 4 · 2013: 1 · 2012: 4
- FWCI
- 5.11
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Imaging Informatics in Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
- Social Sciences › Business, Management and Accounting › Management Information Systems › Information Technology Governance and Strategy
- Keywords
- PACS, hospital workflow, balanced scorecard, organizational evaluation, success factors, organizational alignment, public hospitals
- MeSH terms
- Humans, New South Wales, Radiology Department, Hospital, Radiology Information Systems, Efficiency, Organizational, Systems Integration, Quality Indicators, Health Care
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