Performance evaluation of Health Information Systems using ARIS modeling and discrete-event simulation

Abstract

Innovation and health-care funding reforms have contributed to the deployment of Information and Communication Technology (ICT) to improve patient care. Many health-care organizations considered the application of ICT as a crucial key to enhance health-care management. This paper aims at providing a global methodology to assess the organizational impact of high-level Health Information System (HIS) on patient pathway. We propose a performance evaluation for HIS using formal modeling with ARIS (Architecture of Integrated Information Systems) models and a Discrete Event Simulation approach. The methodology is applied to the consultation for cancer treatment process. Simulation scenarios are established to conclude about the impact of HIS on patient pathway. We demonstrated that although high level HIS lengthen the consultation, occupation rates of oncologists are lower and quality of care is higher (through number of available information accessed during the consultation). The methodology is flexible enough to be applied to other health-care systems.

Evaluative Frameworks and Models for Health Information Systems (HIS) and Health Information Technologies (HIT)

“…4 Models [26,28,32,38] Pakistan [24], Brazil [25], Ireland [26], Tanzania [27], United Kingdom [28,40], Sub-Saharan Africa [29], Somalia [30], Australia [31], India [31], Portugal [32], United States of America [33], France [33,45], Canada [33,44], Cyprus [34], Iran [35,36 ], Columbia [37], Libya [39], Sweden [40] Asia Pacific [24], Latin America and the Caribbean [25,37], European [26,28,[32][33][34]40], African Region [27,29,30,39], Asia Pacific [31], North America [33,44], Middle East and North Africa [31,35,36] Multilevel 6 Frameworks [45][46][47]…”

“…France [45], Canada [50] European [45], North America [50] The results of the market level analysis (Table 3) indicated that: 50% of the studies applied a macro-level analysis, 31% utilized a meso-level perspective, 14% used a multilevel approach and 5% assessed HIS and HIT from a micro-level lens. The two articles [10,11] that contextualized HIS and HIT evaluation from a micro-level analysis came from the Asia Pacific and European IMIA represented regions [3], whereas meso and macro-level evaluations were dispersed across many diverse IMIA regions [3].…”

“…The two articles [10,11] that contextualized HIS and HIT evaluation from a micro-level analysis came from the Asia Pacific and European IMIA represented regions [3], whereas meso and macro-level evaluations were dispersed across many diverse IMIA regions [3]. Of the multi-leveled articles, only two articles [45,50] utilized IMIA regions [3] in their analysis. The remaining four articles represented literature reviews that assessed HIS and HIT but did not specify a country or IMIA represented region [3].…”