Steve Goldberg

Adaptive mapping to realisation methodology to facilitate mobile initiatives in healthcare

Facing increasing pressures to embrace new technologies that support grater patient access to and higher quality of but at the same time offer cost effective healthcare delivery many new initiatives are being embraced in healthcare. To pursue such initiatives from idea generation to commercialisation and adoption however, also necessitate new alliances between academe and industry. This in turn requires new research methodologies for such applied research scenarios. The Accelerated Mapping-to-Realisation methodology (AMR) is proffered as an appropriate methodology to ensure academic rigor and validation to models but also facilitate rapid diffusion and commercialisation.

21/sup st/ century healthcare - the wireless panacea

Healthcare is an important industry that touches most, if not all of us. Healthcare is noted for using leading edge technologies and embracing new scientific discoveries to enable better cures for diseases and better means to enable early detection of most life threatening diseases. However, the healthcare industry globally, and in the US specifically, has been extremely slow to adopt technologies that focus on better practice management and administrative needs (Wickramasinghe and Mills 2001). In todays context of escalating costs in healthcare, managed care, regulations such as the Healthcare Information Portability and Accountability Act (HIPAA) and a technology savvy patient, the healthcare industry can no longer be complacent regarding embracing technologies to enable better, more effective and efficient practice management. We believe such an environment is appropriate for the adoption of m-commerce or wireless solutions.

Enabling superior m-health project success: a tricountry validation

The healthcare industry is facing increasing pressures to embrace new technologies that support greater patient access to, and higher quality of (but at the same time offer cost-effective), healthcare delivery. This pressure has spawned a plethora of initiatives to embrace the possibilities and potentials of technologies to develop and then diffuse new devices, new pharmaceutical products and support minimal invasive surgical techniques that will facilitate superior healthcare delivery. Pursuing such initiatives from idea generation to commercialisation and adoption, however, also necessitates new alliances between academe and industry to ensure rigorous research followed by rapid diffusion to support the realisation of these initiatives so that the patient becomes the ultimate beneficiary. This in turn requires new research methodologies for such applied research scenarios. The Accelerated Mapping-to-Realisation (AMR) methodology is used as an appropriate knowledge-based methodology to ensure academic rigour and validation and also facilitate rapid diffusion and commercialisation of m-health initiatives.

Critical success factors for achieving superior m-health success.

Recent healthcare trends clearly show significant investment by healthcare institutions into various types of wired and wireless technologies to facilitate and support superior healthcare delivery. This trend has been spurred by the shift in the concept and growing importance of the role of health information and the influence of fields such as bio-informatics, biomedical and genetic engineering. The demand is currently for integrated healthcare information systems; however for such initiatives to be successful it is necessary to adopt a macro model and appropriate methodology with respect to wireless initiatives. The key contribution of this paper is the presentation of one such integrative model for mobile health (m-health) known as the Wi-INET Business Model, along with a detailed Adaptive Mapping to Realisation (AMR) methodology. The AMR methodology details how the Wi-INET Business Model can be implemented. Further validation on the concepts detailed in the Wi-INET Business Model and the AMR methodology is offered via a short vignette on a toolkit based on a leading UK-based healthcare information technology solution.

How M=Ec2 in Healthcare

Health care is an important industry that touches most, if not all of us. In todays context of escalating costs in health care, managed care, regulations such as the Health care Information Portability and Accountability Act (HIPAA) and a technology savvy patient, the health care industry can no longer be complacent regarding embracing technologies to enable better, more effective and efficient practice management. Our paper then, serves to outline an appropriate, feasible mobile solution to enable hospitals operate effectively and efficiently in todays competitive and costly health care environment as well as meet all the necessary regulatory requirements.

Pervasive health knowledge management

Part I: Why Pervasive Healthcare and KM?.- Part I Introduction.- Chapter 1.Pervasive Computing and Healthcare.- Chapter 2. Implicit and Explicit Knowledge Assets in Healthcare.- Chapter 3. Regulating Pervasive e-Health Services.- Chapter 4. e-Health Complexity and Actor-Network Theory.- Chapter 5. e-health trends.- Part II: KM and Pervasive Health.- Part II Introduction: Making sense of Pervasive Healthcare: the Role of Knowledge Management.- Chapter 6. Managing Knowledge in Crisis Scenarios: the Use of Pervasive Technologies.- Chapter 7. The Analysis and Design of a Pervasive Health Record: Perspectives from Malaysia.- Chapter 8. Quality analysis of Sensors Data for Personal Health Records on Mobile devices.- Chapter 9. Smartphone Application Design and Knowledge Management for People with Demintia.- Part III: The INET Solution and Diabetes Self-Care.- Part III Introduction: Critical Perspectives on a Possible Solution.- Chapter 10. A Pervasive Technology Solution for Supporting Diabetes Self-Care.- Chapter 11. Achieving m-Health Excellence.- Chapter 12. Why Use Wireless to Monitor Chronic Diseases: the Case of Diabetes.- Chapter 13. An Examination of the Business and IT aspects of Wireless Enabled Healthcare Solutions.- Chapter 14. Applying the IPM Framework to Improve Remote Management in the Context of Chronic Disease.- Part IV: Various Global Initiatives.- Part IV Introduction: The Possibilities Are Only Limited by Our Imaginations.- Chapter 15. Online Health Information for Chronic Disease: Diabetes.- Chapter 16. Development of an Internet-Based Chronic Disease Self-Management System.- Chapter 17. Enablers of Implementing Knowledge Management Systems for Better Organisational Outcomes: An Indian Study.- Chapter 18. Expectations, Usability and Job Satisfaction, as Determinants for the Perceived Benefits for the Use of Wireless Technology in Healthcare.- Chapter 19. Web 2.0 Panacea or Placebo for Superior Healthcare Delivery.- Chapter 20. e-Health Readiness assessment from HER Perspective.- Chapter 21. Identifying the Taiwanese Electronic Health Record Systems Evaluation Framework and Instrument by Implementing the Modified Delphi Method.- Epilogue.

The Benefits of Wireless Enabled Applications to Facilitate Superior Healthcare Delivery: The Case of DiaMonD

Globally, both wired and wireless technologies have been used for healthcare delivery. However, in the frenzy to secure the best solutions and applications, few have delved deeper into the key issues of how to successfully assimilate these new technologies into the whole healthcare delivery process. The authors focus on wireless healthcare solutions, specifically examining a single exemplar case study, the diamond solution that describes a pervasive technology solution of a diabetes monitoring device. They contend that a key barrier for preventing the full realization of the true potential of wireless solutions lies in the inability of information and necessary data to pass seamlessly from one platform to another. In addition, the authors suggest ways to integrate data from wireless healthcare solutions with the existing electronic health records EHR systems, and discuss the impact of wireless enabled solutions on the meaningful use of EHRS.

Understanding the Advantages of Mobile Solutions for Chronic Disease Management: The Role of ANT as a Rich Theoretical Lens

In an environment of escalating healthcare costs, chronic disease management is particularly challenging, since, by definition such diseases have no foreseeable cure and if poorly managed typically lead to further, complicated secondary health issues, which ultimately only serve to exacerbate cost. Diabetes is one of the leading chronic diseases and its prevalence continues to rise exponentially. Thus it behooves all to focus on solutions that can result in superior management of this disease. Hence, this article presents findings from a longitudinal exploratory case study that examined the application of a pervasive technology solution; a mobile phone, to provide superior diabetes self-care. Notably, the benefits of a pervasive technology solution for supporting superior self-care in the context of chronic disease are made especially apparent when viewed through the rich lens of Actor-Network Theory (ANT) and thus the paper underscores the importance of using ANT in such contexts to facilitate a deeper understanding of all potential advantages.

Facilitating superior chronic disease management through a knowledge-based systems development model.

To date, the adoption and diffusion of technology-enabled solutions to deliver better healthcare has been slow. There are many reasons for this. One of the most significant is that the existing methodologies that are normally used in general for Information and Communications Technology (ICT) implementations tend to be less successful in a healthcare context. This paper describes a knowledge-based adaptive mapping to realisation methodology to traverse successfully from idea to realisation rapidly and without compromising rigour so that success ensues. It is discussed in connection with trying to implement superior ICT-enabled approaches to facilitate superior Chronic Disease Management (CDM).

A standardised mobile internet (wireless) environment for mobilising healthcare

Healthcare has become one of the foremost domestic issues in the USA; healthcare costs represent about 14% of the Gross Domestic Product. Business and industry view the increased costs of healthcare and healthcare benefits as impediments to their ability to compete in international markets. Various health organisations and researchers are trying to get relevant research findings and successful innovations and management practices from other industries, countries, and healthcare organisations. This chapter discusses the findings from INETs study on mobile internet (wireless) technology initiatives in healthcare by Ontario Hospitals in Canada. This research has shown that mobile/wireless solutions for healthcare can achieve four critical goals to: 1) improve patient care; 2) reduce transaction costs; 3) increase healthcare quality; and 4) enhance teaching and research. Integral to the incorporation of wireless initiatives is the reliance on the healthcare portal and the underlying three-tier web based architecture. The same or similar initiatives can be exploited by other hospitals to incorporate a wireless/m-commerce solution to enable hospitals to operate effectively and efficiently in todays competitive and costly healthcare environment.