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Healthcare facilities use a number of information system/information and communication technologies. Each healthcare facility faces a need to choose sourcing strategies most suitable to ensure provision of information system/information and communication technology services, processes and resources. Currently, it is possible to observe an expansion of sourcing possibilities in healthcare informatics, which creates new requirements for sourcing strategies. Thus, the aim of this article is to identify factors influencing information system/information and communication technology sourcing strategies in healthcare facilities. The identification was based on qualitative research, namely, a case study. This study provides a set of internal and external factors with their impact levels. The findings also show that not enough attention is paid to these factors during decision-making.

In this paper we discuss existing frameworks for the management of ICT services and their limitations in the context of emerging enterprise computing environment characterized by use of externally sourced services. We identify the requirements for a service management framework with particular focus on definition and categorization of ICT services that facilitates the development of a service catalogue. The main section of this paper describes our approach to ICT service management as embodied in the SPSPR framework.

Most organizations today are looking for more cost effective approaches to delivering enterprise applications to their user base. Among the alternatives that are becoming increasingly popular are various forms of e-collaboration that involve the sharing of information between organizations, integration of interenterprise business processes among partner organizations, and the delivery of software services by external application service providers (ASPs). Such recent trends are likely to produce a situation where most enterprise applications will be implemented collaboratively or supplied as services, making the Software-as-a-Service model the dominant method of enterprise application delivery. The extensive use of externally supplied software and information services will change the shape of the ICT (Information and Communication Technologies) market and impact on management decisions about the deployment of enterprise ICT (Harber, 2004). These changes will affect both user organizations and organizations supplying ICT products and services. In this paper we analyze the above trends and discuss the impact of the Software-as-a-Service model on ICT user organizations and ICT suppliers. We first discuss the key enterprise computing trends and the strategic importance of ICT.

Enterprise information systems have rapidly evolved over the last decade. We expect these changes to accelerate during this decade as a result of new trends in enterprise computing. We argue in this chapter that information and communication technology (ICT) remains strategically important to organizations in the 21st century despite the prevailing trend to outsource ICT and related business processes. We have identified a number of important trends that include the move towards the software as a service (SaaS) model for enterprise applications, increased commitment to process orientation, and emphasis on managing the relationship between business and ICT using services. These trends lead to more effective management of ICT and closer integration of ICT with entrepreneurial activities and business processes in organizations, resulting in improvements in return on investment. These trends will have dramatic impact on both the suppliers and users of ICT, and will necessitate the reevaluation of the approach to ICT education as both the composition and qualifications of ICT workforce will undergo a fundamental change.