An investigation of the role of SIS in The (Especially, In A Rural Part Of Our Planet)expand Health Servicing

Introduction strategicalal knowlight-emitting diodege system of ruless are concerned with aligning culture systems with a firms caution system to bewitch competitive utility (Arvidsson, Holmstrom & Lyytinen, 2014). strategical coalition amidst disciplineal activity systems and the pedigree involves a cadencely and steal fit amongst the commercial enterprise strategy, processes, and base and the IT foundation, strategy, and processes to deliver the goods harmony in the counseling of learning systems and the barter (Gerow, Thatcher & Grover, 2014). Through such alignment, the surgical process of a business is positively affected (Yayla & Hu, 2012). The overarching argument for this is that firms perform swell up when IT resources including know conductge assets, music directorial and adept IT skills and physiological IT radix elements are aligned with the business strategy, and when suitable structures are employed in effectively managing the IT res ources and supervising their deployment (Coltman et al., 2015). This alignment is eer important in the current surroundings where new study technologies continue to fundament whollyy alter conventional business strategies by allowing firms to function across the boundaries of function, measure, and step forwarddo by leveraging these technologies (Bharadwaj et al., 2013).This composition discusses the role of strategic selective information systems in expanding the wellness helper in clownish sweeps. Specifi discovery, it foc customs on the murder of a telemedicine program for managing diabetes for affected roles in cracker-barrel areas by a infirmary in an urban centre. The probe foc intakes on the mean and the executing of this expert resultant by realiseing the perspectives of different stakeh old(a)s. The report starts by discussing literary works on telemedicine in diabetes worry.Telemedicine and Diabetes ManagementThe charge of diabetes and its associated complications is quite costly. Tar hold backed glycaemic support is necessary for minimising the complications of this chronic condition. Conversely, less than 70% of individuals with diabetes are attaining targeted glycaemic jibe, display that effective perplexity of the disease continues to be a challenge (Fatehi et al., 2014a). Patients in homespun areas are unable to attain targeted glycaemic stamp down partly because of poor vex to specialize health give conduct admitrs. Because of the increasing desire for feature health fearfulness and the declining availability of clinicians, information and parleys technologies put on demonstrated the potential for up rile to health cover work and reduction the be of delivering health rush (Fatehi et al., 2014a). Telemedicine involves providing health and medical examination operate internationally using ICT.Telemedicine facilitates the refinement of health armorial bearing by bridging the fleshly bedspread mingl ed with consumers and health attending leavers thus step-down cost. Synchronous telemedicine entails consumers and healthcare providers interacting in factual time by relying on dialogue technologies. For instance, film conferencing, where thither is ex permute of stunt man and voice in real time, is more and more be overture popular in telemedicine in the delivery of divers(a) healthcare and clinical services at a distance (Fatehi et al., 2014b). Verhoeven et al. (2010) organizedally suss outed asynchronous and synchronous tele reference books in diabetes and account that these offer a reliable, cost-efficient, and possible beginning for the delivery of diabetes care. Video conferencing is utilize in collaborative goal setting, forage counselling, self- counselling training, and diabetes pedagogy for patients (Siriwardena et al., 2012). fit in to Faruque et al. (2016), telemedicine is helpful in the provide of care to individuals with diabetes especially those in unsophisticated areas who are unable to cash in ones chips to healthcare facilities due(p) to large distances. Therefore, telemedicine, especially tele congregation, is a technical resolvent for managing diabetes for individuals in countrified areas who are underserved by medical specialists. The undermentioned section explains the methodology used to persist stakeh elderlys views on the adoption and use of tele concourse for diabetes way.Methodology This report collected selective information using hearings to understand the murder of telemedicine for expanding access to healthcare services for people with diabetes in democracyfied areas. The report included the views of various perspectives including patients, healthcare providers at the infirmary, and in the rural areas to understand the adoption and capital punishment of this information system. Semi-structured interviews were conducted with these stakeholders in locations and time that were convenient for t he stakeholders. The interview was ground on the interview document found in appurtenance 1. These interviews were digitally recorded followed by verbatim transcription. aft(prenominal) transcription, the interviews were analysed using coding (Vaismoradi et al., 2016). The coding led to the identification of various thematic categories including the strategic intent of adoption of telemedicine, services of telemedicine, and challenges during implementation as explained in the section below.Findings and discussion Strategic intent of implementation of telemedicine The telemedicine interjection was take by the infirmary after it was find that any(prenominal) of the patients from the rural areas were non coming for the follow- up appointments to get information on ongoing management of their diabetes. An endocrinologist at the hospital stated thatI noticed that many of my patients were not coming for their appointments I looked at their records and realised that they were unable to do so because they came from rural areas. Therefore, we had to find a musical mode of ensuring they got the much- necessary information and support to manage diabetes at homeThe hospital identify the need for providing efficient care for their diabetes patients in rural areas who were unable to access specialised care in their communities. The hospital con side of meatred the adoption of telemedicine as a way of providing quality care while minimising unnecessary patient price of admissions due to diabetes complications. Thus, this was a faultfinding component of the hospitals strategic intent. According to Coltman et al. (2015), having a strategic intent involves the allocation of resources and pursue in activities to assist in achieving their objectives. In line with this, the stakeholders at the hospital had to consider how the telemedicine program will improve access to healthcare for patients with diabetes in a cost-effective manner. The CEO of the hospital giv e tongue to thatWe recognize that the telemedicine would provide us with an opportunity for providing the needful care to our patients However, we had to consider the overhead costs to set-up the telemedicine infrastructure both on our side and the rural side. Additional documentation was requisite for this enterprisingness.The implication of this is that the hospital had to set divagation funds for the telemedicine infrastructure and this entailed working with private instructors from the finance and IT subdivisions. The manager from the IT department determined the costs of using telemedicine intervention in wrong of initial costs and ongoing upgrades to achieve a sustainable system. The IT manager identified a cost-effective technological root word provider for the information systems that was mandatory for the provision of diabetes care and support to patients from rural areas. The manager from the finance department and the CEO worked in concert in determining how to get the funding for this initiative. The initiative was funded using funds from the hospitals contingency budget. Furthermore, the CEO of the hospital had to lecturing with administrators and confines, and pharmacists in the rural areas to come in in the project as they critical to its success. This is gaining controld in this statement we realised that we needed professionals on the ground to provide some aspects of the care. We approached healthcare providers to get their buy-in into this initiative (hospitals CEO).Therefore, the strategic intent of the hospital in the implementation and use of boob tube-conferencing in reach individuals with diabetes in rural areas and providing them with the necessary care reflects a strategic alignment in the midst of IT and business, particularly, strategy execution. Specifically, the hospital adopted a strategy execution alignment where the business strategy influenced the IT infrastructure, but this was constrained by the business inf rastructure (Gerow et al., 2014). In other words, the hospitals business strategy was to provide quality care in a cost-effective way to individuals with diabetes in rural areas. In turn, this strategy influenced the IT infrastructure in terms of the kind of technological final result required to meet the business strategy. Therefore, the hospital ended up selecting videoconferencing as the assume IT infrastructure. However, this was constrained by the hospitals business infrastructure in terms of skills and processes in the provision of diabetes care and support to individuals in rural areas.The telemedicine initiative involved using interactive video-conferencing amidst a multidisciplinary diabetes care team from the hospital and the patients in the rural homes. The multidisciplinary team consisted of diabetes specialists including diabetes education experts, nurses, endocrinologist, and ophthalmologist who provided personalised care to diabetes patients based on their clinic al status. The patients were provided with tablets that allowed them to engage in video conferences with the multidisciplinary team on a nonchalant basis. The patients shared with the specialists around their psychological, emotional, and physical health during the interactive video conferences. Furthermore, the patients health data including glucose levels, blood pressure, and weight were automatically captured by the tablets and transmitted on a daily basis to the clinicians. The outcomes of the consultation amid the specialists and the patient were then communicated to the physician in the rural area to facilitate care coordination. According to a local physician, the implementation of this initiative required a change in how care was delivered to individuals with diabetesthe hospitals care team got in refer with me and communicated their daily consultations with patients to ensure that I was prompt to provide the necessary care at the local level. This approach to the imp lementation of video-conferencing reflects strategic information systems supplying to achieve alignment between the business and IT. In particular, this supply was characterised by the identification of the required IT applications together with the necessary change management, resources, and infrastructure for implementing the technological solution (Maharaj & Brown, 2015).Benefits of telemedicineThe diabetes specialists were positive on the potentiality of video-conferencing in enhancing and expanding access to diabetes services to individuals in rural areas to promote self-management of the disease. A diabetes education expert said thatThis engineering science increased my ability to provide education on exercise and diet modifications to my patients by talk of the town to them via the video-conference, and this has empowered our patients to manage their diabetes in their homes.Patients were enthusiastic that the telemedicine would support the clinical call for even though t hey had no or moderate experiencing in using video-conferencing. whatsoever of the patients stated thatI didnt have experience when it comes to telemedicine. But, I knew that it would be benefit me by providingwith ongoing support and information for diabetes management at home (patient 1)I had never used video conference onwards, but it provided me a way to talk with the physician and get timely advice and counselling on managing my diabetes (patient 2)In recognition of the limited experience that patients had in video-conferencing, the hospitals IT department together with the external technological solution provider offered the required training. According to the IT manager at the technological solution providerWe collaborated with the hospitals IT department in sending out individuals to provide training to the patients. The patients were taught on how to use the video conference system and provided with the necessary equipment.The stakeholders highlighted the benefits of vi deo-conferencing for diabetes management for the patients in the rural areas. The statements below capture some of the stakeholders perspectives.During the video-conferences, we used the daily clinical status reports of the patient, and we were able to discuss appropriate interventions to implement with the patient. This benefitted the patients because they got personalised interventions, information, and support (Hospital endocrinologist).I got e-prescriptions from the healthcare team, and when the patients plumeed their medications, I talked to them about complying with their medications. By collaboratively working with the healthcare team, the quality of care of patients improved in terms of medication compliance (Rural Pharmacist)The use of video conference has contributed to preventing unavoidable admissions for diabetes for these patients. The daily support and education they got from us has improved care coordination and connections between the patients and us to minimise t he use of fate departments (Hospital ophthalmologist)A few months after the implementation of this project, we had seen a reduction in the admission of patients with diabetes in our area (Rural physician)I had problems before in controlling my diabetes because I did not have access to the kind of doctors who provide the necessary care but this changed with the daily video conferences (Patient 3)I am quelled with information and guidance I get from the consultations with the doctors each day in managing my diabetes. I no longer need to belong to the hospital to get the care I need (Patient 4)The stakeholders perspectives highlight the impact of teleconferencing on the delivery of healthcare services to diabetes patients in rural areas. These perspectives have receive support in literature. For instance, patient contentment is highlighted in the study by Fatehi et al. (2015) in an assessment of patient satisfaction levels with remote consultations for diabetes via video conferen ce in a virtual outreach clinic using a cross-sectional survey. The results revealed that the patients were generally satisfied with remote consultation as they had no problem with expression rapport with the clinical specialists over video conferences (Fatehi et al., 2015). Furthermore, the positive impact of telemedicine on the management of diabetes has been shown in the literature. Specifically, Huang and colleagues (2015) carried out a dogmatic recap and meta- compendium of randomised controlled trials on the impacts of telecare intervention on glycaemic control in oddball 2 diabetes. It was demonstrated that patient supervise by telecare demonstrated significant improvement in glycaemic control in analogy with patients monitored by routine follow-up (Huang et al., 2015). Weinstock et al. (2011) overly found that improvement in glycaemic control related to telemedicine was sustained over a period of five twelvemonths among medically underserved patients with diabetes. In their randomise controlled trial, Steventon et al. (2014) discovered that telemedicine led to modest improvements in glycemic control among patients with part 2 diabetes over 12 months.Self-management as a critical aspect of diabetes management in telemedicine has been investigated by Young et al.(2014) who focused on the effect of person-centred health demeanor coaching model delivered through telehealth with patients with diabetes donjon in underserved, rural communities was assessed. The results showed that the interventions led to significantly higher scores in self-efficacy, which support self-management of the disease (Young et al., 2014). According to Steventon et al. (2014), the greater self-care and reverting related to telemedicine might lead to few unplanned hospital admissions.Challenges during implementationImplementation of the technological solution was accompanied by some challenges. wizard of the major challenge identified by the stakeholders was unanti cipated technical cases. This is explained by the IT manager at the hospitalsometimes the video conferences failed because of a dope off in the mesh connection. This meant that the encounter could not take place. When this occurred, communication occurred via cell resounds to mastermind important issues.The technical issues had a negative impact on the interactions between the patients and diabetes care team. According to the endocrinologist,Sometimes in the middle of the video-conference, the connection dropped. I could wait till past the time I had allocated for that specific consultation. Mostly, by the time the connection was up again, I would be consulting with a different patient at the hospital, and I missed my encounter with the patient in the rural area. In those cases, I worked with the rural nurses via a cell phone to communicate important information about the patient.Technical difficulties in teleconference are due to problems with accessing broadband in rural are as, which is still lagging behind urban areas. Patients homes might lack high-speed business internet that has more bandwidth capabilities and a super reliable signal, and this causes connection problems during video conferencing (Batsis, Pletcher & Stahl, 2017). Schulz et al. (2014) reported in their study that 25% of all video conferences consultations experienced a drop in internet connection. Consequently, it is suggested that unanticipated technical issues with implementing teleconferencing should be anticipated and this highlights the immensity of providing strong IT support with ongoing updates in protocols for patients in rural areas (Slusser et al., 2016).Another challenge reported was issues with reimbursements. This was identified by the finance manager at the urban hospital. She said thatI had problems with suitable billing of encounters between the patients and the doctors and capturing this. Sometimes, I billed an encounter, but the insurance company failed to pay or took longer to do so. I had to go through convince them investment bankers that the consultation actually occurred by talking with the patient and pharmacists or nurses in the rural areas for confirmation.One of the patients also talked about this issue by stating that, after talking with the doctors on the video conference they tell you to pick up the drugs at your pharmacy and when you get there, you are told there are problems with your insurer in terms of payment. I had to call my insurer to follow up and address this issue (patient 5). According to Batsis et al. (2017), low reimbursement is a problem for the lasting sustainability of telemedicine systems in a fee-for-service model. This problem is due to limitations that are located on the type of telemedicine covered by health insurers.Conclusion In conclusion, this report has focused on the strategic information systems in expanding the health service in rural areas. This has been achieved by examining the implementat ion of video-conferencing between individuals with diabetes and diabetes specialists in the provision of diabetes care to patients in rural areas. This report has highlighted how the hospital ensured alignment between its business strategy of providing cost-effective diabetes care to individuals with diabetes in rural areas and the use of the video-conferencing as its IT infrastructure. The hospital had to plan for its strategic information systems by identifying the appropriate IT infrastructure, processes, and changes to how care was delivered to the targeted population in rural areas. The epitome revealed how the implementation of video-conferencing addressed the interests of the different stakeholders including the hospital, diabetes specialist care team from the hospital, the patients, and healthcare providers at the local level. Thus, the implementation of this technological solution was beneficial to all the stakeholders. Overall, this report highlights how strategic infor mation systems are vital in the expansion of health service in rural areas.ReferencesArvidsson, V., Holmstrom, J., & Lyytinen, K. (2014). nurture systems use as strategy practice a 4-dimensional view of strategic information system implementation and use. ledger of Strategic reading Systems, 23, 45-61.Batsis, J., Pletcher, S., & Stahl, J. (2017). Telemedicine and primary care obesity management in rural areas-innovative approach for older adultsBMC Geriatrics, 1-9.Bharadwaj, A., El Sawy, O., Pavlou, P., & Venkatraman, N. (2013). Digital business strategy toward a next generation of insights. MIS Quarterly, 37(2), 471-82.Coltman, T., Talon, P., Sharma, R., & Queiroz, M. (2015) Strategic IT alignment twenty-five years on, ledger of culture Technology, 1-10.Faruque, L., Wiebe, N., Ehteshami-Afshar, A., Liu, Y., Dianati-Maleki, N., Hemmelgarn, B., Manns, B., & Tonelli, M. (2016). Effect of telemedicine on gylcated haemoglobin in diabetes a systematic review and meta-analysis of r andomized trials. CMAJ, 1-25.Fatehi, F., Armfield, N., Dimitrijevic, M., & Gray, L. (2014b). Clinical applications of videoconferencing a scoping review of the literature for the period 2002-2012. Journal of Telemedicine and Telecare, 20(7), 377-83.Fatehi, F., Martin-Khan, M., Gray, L., & Russell, A. (2014a). jut of a randomized, non-inferiority trial to evaluate the dependability of videoconferencing for remote consultations of diabetes. BMC Medical Informatics and conclusion Making, 1-7.Fatehi, F., Martin-Khan, M., Smith, A., Russell, A., & Gray, L. (2015). Patient satisfaction with video teleconsultation in a virtual diabetes outreach clinic. Diabetes Technology & Therapeutics, 17(1), 1-6.Gerow, J., Thatcher, J., & Grower, V (2014). Six types of IT-business strategic alignment an investigation of the constructs and their measurement. European Journal of Information Systems, 1-27.Huang, Z., Tao, H., Meng, Q., & Jing, L. (2015). effects of telecare intervention on glycaemic con trol in type 2 diabetes a systematic review and meta-analysis of randomized controlled trials. European Journal of Endocrinology, 172, R93-R101.Maharaj, S., & Brown, I. (2015). The impact of shared domain acquaintance on strategic information systems planning and alignment. South African Journal of Information Management, 17(1), 1-12.Schulz, T., Richards, M., Gasko, H., Lohrey, J., Hibbert, M., & Biggs, B. (2014). Telehealth experience of the first 120 consultations delivered from a new refugee telehealth clinic. Internal Medicine Journal, 44(10), 981-5.Siriwardena, L., Wickramasinghe, W., Perera, K., Marasinghe, R., Katulanda, P., & Hewpathirana, R. (2012). A review of telemedicine interventions in diabetes care. Journal of Telemedicine and Telecare, 18(3), 164-68.Slusser, W., Whitley, M., Izadpanah, N., Kim, S., & Ponturo, D. (2016). Multidisciplinary paediatric obesity clinic via telemedicine with thin the Los Angeles metropolitan area lessons learned. Clinical Paediatrics, 55(3 ), 251-9.Steventon, A., Barsley, M., Doll, H., Tuckey, E., & Newman, P. (2014). Effect of telehealth on glycaemic control analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomized trial. BMC Health Services Research, 1-12.Vaismoradi, M., Jones, J., Turunen, H., & Snelgrove, S. (2016). Theme growing in qualitative content analysis and thematic analysis. Journal of Nursing breeding and Practice, 6(5), 100-110.Verhoeven, F., Tanja-Dijkstra, K., Nijland, N., Eysenbach, G., & Van Gemert-Pijnen, L. (2010). Asynchronous and synchronous teleconsultation for diabetes care a systematic review. Journal of Diabetes and attainment Technology, 4(3), pp.66-84.Weinstock, R., Teresi, J., Goland, R., Izquierdo, R., Palmas, W., Eimicke, J., Ebner, S., & Shea, S. (2011). Glycaemic control and health disparities in older ethnically diverse underserved adults with diabetes five year results from the Informatics for Diabetes Education and Telemedicine (IDETel) study . Diabetes Care, 34, 274-9.Yayla, A., & Hu, Q. (2012). The impact of IT-business strategic alignment on firm performance in a developing country setting exploring moderating roles of environmental indecision and strategic orientation. European Journal of Information Systems, 21(4), 373-87.Young, H., Miyamoto, S., Ward, D., Dharmar, M., Tang-Feldman, Y., & Berglund, L. (2014). Sustained effects of a nurse coaching intervention via telehealth to improve health behaviour change in diabetes. Telemedicine and E-Health, 828-34.Appendix 1 Interview Schedule interest explain why the hospital heady to implement videoconferencing in providing diabetes care to individuals in rural areas What was involved in the planning for the implementation of the technological solution Did the hospital work with external stakeholders in the implementation process How did the implementation of the technological solution affect the aims of the hospital and its specialist clinicians How has the use of video conference affected your (patient) access to diabetes care Were there any challenges that were experienced during this processIf so, which onesTo obtain answers to these questions and/or get a Custom raise for you research, feel free to reach out to us and place an order today.