Olivia F. Lee

The adoption of technology orientation in healthcare delivery

Purpose – The purpose of this paper is to explore the role of technology through the study of electronic health record system in delivering patient‐centered services. The goal is to identify the antecedents and consequences of adopting a technology orientation (TECHOR) approach in a large‐scale hospital and healthcare system.Design/methodology/approach – A grounded approach is used whereby extensive literature review and field studies were conducted over a two‐year period. The three major field research activities included observation on hospital premises, semi‐structured interviews, and focus group discussions with hospital employees from a large‐scale hospital and healthcare system.Findings – The findings reveal that TECHOR is institutionalized as a result of its demonstrated effectiveness in delivering patient‐centered services with improved cost effectiveness, efficiency, safety, and quality control.Research limitations/implications – Empirical testing of the presented framework is an important future...

Enhancing the Disaster Recovery Plan Through Virtualization

Currently, organizations are increasingly aware of the need to protect their computer infrastructure to maintain continuity of operations. This process involves a number of different concerns including: managing natural disasters, equipment failure, and security breaches, poor data management, inadequate design, and complex/impractical design. The purpose of this article is to delineate how virtualization of hosts and cloud computing can be used to address the concerns resulting in improved computer infrastructure that can easily be restored following a natural disaster and which features fault tolerant hosts/components, isolates applications security attacks, is simpler in design, and is easier to manage. Further, because this technology has been out for a number of years and its capabilities have matured an attempt has been made to describe those capabilities as well as document successful applications.

Outsourcing and replication considerations in disaster recovery planning

Purpose – This paper aims to use a case study approach to compare the performance of traditional models and an in‐house and outsourced solution and assess the importance of adequate network bandwidth in the remote replication process.Design/methodology/approach – Using the authors’ autonomous computer system, the cost/benefits of five different disaster recovery (DR) models are determined and reported in a table. Further, experimental data gleaned from a series of data updates on remote replicas connected via the internet are reported.Findings – The results indicate that the traditional models lack performance flexibility. The virtualized replica model and the outsourced solution are similar in terms of investment cost, but the former offers attractive performance and sound reliability characteristics, and provided adequate network bandwidth. The minimum practical speed to support replication updates in the authors’ autonomous system was 10 Mbs.Research limitations/implications – The results herein are on...

Virtualized Disaster Recovery Model for Large Scale Hospital and Healthcare Systems

Healthcare organizations face rising costs in effective management of hospital information systems. Adding to this burden is the Joint Commission’s mandate for disaster preparedness, which demands restoring access to information after unexpected catastrophes. Disaster recovery within healthcare organizations is essential because of its inherent critical nature and the possible losses’ impact on patients’ lives. This paper presents a virtualized disaster recovery model and presents steps for setting up the recovery environment and implementing the virtualized plan across multiple network systems. A large scale hospital and healthcare system in Minnesota participated in this study, and results indicate that the virtual model can provide acceptable performance when a limited number of client workstations are functioning. However, its performance is not as good as the traditional physical model, and its workload performance decays much quicker. Future research is suggested that tests more sophisticated models and incorporates finer granularity in the tabular distribution methodology.

An entrepreneurial relationship marketing approach to B2B selling: The case for intellectual capital sharing

Purpose The purpose of this paper is to examine the entrepreneurial practice of intellectual capital sharing (ICS) with client organizations and assess its potential for collaborative business-to-business (B2B) relationship building. B2B collaborations within the traditional marketing paradigm are restricted due to perceived opportunism. Design/methodology/approach The research is based on the grounded theory approach and involves 22 semi-structured interviews with the employees of a focal organization and its five client organizations regarding 36 implemented projects. Interviews were transcribed, coded and analyzed via constant comparison to surface codes, categories, concepts and themes from which the authors developed propositions based on the particular context of this study. Findings ICS approach helps customers to reconstruct sellers’ identity from one characterized by opportunism and arm’s length relationships to one defined by openness and collaboration. Identified benefits of ICS include higher trust, commitment, social bonding, value co-creation, individual and organizational performance and learning. Eight propositions and a model of ICS consequences are presented. Research limitations/implications The context of the study is limited to a single industry – financial services – however, the findings should be highly relevant for other sales contexts characterized by low buyer trust. Practical implications Entrepreneurial marketers can engage in ICS approach quickly at minimal cost, as the capabilities and talent are typically already internal to the organization. Originality/value This paper examines a unique relational approach to serving clients called ICS that de-emphasizes the sale. Subject matter experts help buyers overcome challenges outside the scope of the traditional marketing paradigm.

Information management and regulatory compliance: a case analysis

Information management in todays tight regulatory environment presents a challenging task to many organisations. This paper reviews the challenges of regulatory compliance and proposes a centralised compliance process model. A case study is used to demonstrate some important compliance strategies.