Situational Change Engineering in Healthcare
Journal
Lecture Notes in Informatics
ISBN
978-3-88579-185-0
Type
conference paper
Date Issued
2006-10-12
Author(s)
Editor(s)
Stormer, Henrik
Meier, Andreas
Schumacher, Michael
Research Team
IWI1
Abstract
Many developed countries are confronted with continuously increasinghealthcare costs. Most administrations believe that a fundamental reorganization ofthe healthcare sector is inevitable. Transformation processes are often enabled byinformation and communication technologies. For healthcare, a plethora of eHealthstrategies have been proposed, many of them being aimed at reducing healthcarecosts by optimizing administrative processes. Although lots of strategies have beenproposed, there is a lack of clear guideline for setting up transformation projectssuccessfully. Since many healthcare systems are characterized by a high degree aufautonomy and many local regulations, a situational approach for setting uptransformation projects is necessary. In change management as well as in methodengineering, situational approaches have been proposed. But there are fewpublications on how to combine situational change management with situationalmethod engineering. Regarding applying such an approach to healthcare, there isno work at all. Therefore the aim of this paper is to propose a "situational changeengineering' framework for the healthcare sector. Three steps are essential: (1) toclassify change projects in the healthcare sector with regard to certaintransformation attributes, (2) to identify reusable method fragments that have beendeployed in change projects of a certain type, and (3) to develop a procedure whichcreates a situational method from appropriate method fragments for the respectivetype of change. In addition to outlining this approach, a hypothesis for the first stepis presented, i.e. a scheme is developed to classify change projects in the healthcaresector. The paper ends with a recommendation for implementing the "situationalchange engineering' framework in the healthcare sector.
Language
English
HSG Classification
not classified
Refereed
No
Book title
European Conference on eHealth 2006 : proceedings of the ECEH'06
Publisher
Ges. für Informatik
Publisher place
Bonn
Volume
P-91
Start page
227
End page
238
Pages
12
Event Title
European Conference on eHealth (ECEH'06)
Event Location
Fribourg
Event Date
12.-13.10.2006
Subject(s)
Division(s)
Eprints ID
66970
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