Telehealth systems: considering knowledge management and ICT issues

We examine the factors necessary for telehealth implementations in healthcare organisations. We focus on the transfer of medical information using information and communication technologies (ICT). The paper identifies current applications of telehealth and telemedicine. It contends that we are using such applications in a static manner, whilst futuristic systems would be dynamic in nature and would support the transfer of context-based information. This could make web-based multimedia patient administration systems the norm for healthcare institutions. Such a scenario is likely to lead to a situation where healthcare institutions would be flooded with large amounts of clinical data. The introduction of the knowledge management (KM) paradigm would enable healthcare institutions to face the challenge of transforming large amounts of medical data into relevant clinical information. A KM solution would allow healthcare institutions to give clinical data context, so as to allow knowledge derivation for more effective clinical diagnoses. It would also provide a mechanism for the effective transfer of the acquired knowledge so as to aid telecare workers, as and when required.

[1]  Karl Wiig,et al.  Knowledge management : the central management focus for intelligent-acting organizations , 1994 .

[2]  W. Warner Burke,et al.  Managing organizational change: what you don’t know might hurt you , 1996 .

[3]  James S. Sweitzer,et al.  Slice of Life , 1996 .

[4]  M. Parsley.  You ain't seen nothin' yet , 1997 .

[5]  Telemedicine--bringing the specialist to the patient. , 1997 .

[6]  The human side of change. Managing employee morale and expectations. , 1997 .

[7]  Daniel C. Feldman,et al.  Patterns of telecommuting and their consequences: Framing the research Agenda. , 1997 .

[8]  D J Fishman.  Telemedicine--bringing the specialist to the patient. , 1997, Nursing management.

[9]  J J Mohr,et al.  Building a Quality Future , 1998, Frontiers of health services management.

[10]  D W Moran.  Health information policy: on preparing for the next war. , 1998, Health affairs.

[11]  Emerging managed care technologies. , 1998, Health management technology.

[12]  Kostas N. Dervitsiotis,et al.  The challenge of managing organizational change: Exploring the relationship of re-engineering, developing learning organizations and total quality management , 1998 .

[13]  Anne Schooley.  Allowing FDA Regulation of Communications Software Used in Telemedicine: A Potentially Fatal Misdiagnosis? , 1998 .

[14]  B. Puccinelli.  Strategies for sharing knowledge: To successfully implement a KM initiative, moving from individual to collaborative effort is essential , 1998 .

[15]  C. Stanworth,et al.  Telework and the Information Age , 1998 .

[16]  Y. B. Puccinelli.  Overcoming resistance to change: The success of your technology initiative depends on it , 1998 .

[17]  Morten T. Hansen,et al.  What's your strategy for managing knowledge? , 1999, Harvard business review.

[18]  Laurence P. Chait,et al.  Creating a Successful Knowledge Management System , 1999 .

[19]  Charnell Havens,et al.  Easing into knowledge management , 1999 .

[20]  W Kazman,et al.  Telemedicine leverages power of clinical information. Patients benefit from care providers' use of the Internet. , 1999, Health management technology.

[21]  Roelof P. uit Beijerse.  Questions in knowledge management: defining and conceptualising a phenomenon , 1999, J. Knowl. Manag..

[22]  Careful telemedicine planning limits costly liability exposure. , 1999 .

[23]  Careful telemedicine planning limits costly liability exposure. , 1999, Healthcare financial management : journal of the Healthcare Financial Management Association.

[24]  Rajeev K. Bali.  Organizational and social impacts of telehealth: a cause for concern? , 2000, Proceedings 2000 IEEE EMBS International Conference on Information Technology Applications in Biomedicine. ITAB-ITIS 2000. Joint Meeting Third IEEE EMBS International Conference on Information Technol.

[25]  Terry L. Huston,et al.  Is telemedicine a practical reality? , 2000, CACM.

[26]  R.K. Bali.  Towards a qualitative-informed model for EPR implementation: considering organizational culture , 2000, Proceedings 2000 IEEE EMBS International Conference on Information Technology Applications in Biomedicine. ITAB-ITIS 2000. Joint Meeting Third IEEE EMBS International Conference on Information Technol.

[27]  B L Charles,et al.  Telemedicine can lower costs and improve access. , 2000, Healthcare financial management : journal of the Healthcare Financial Management Association.

[28]  A. Darkins,et al.  Telemedicine and Telehealth: Principles, Policies, Performance and Pitfalls , 2000 .

[29]  Hospitals can manage change without pain. , 2000 .

[30]  Telehealth expands unrealized dream. , 2000, Health care strategic management.

[31]  Telemedicine Raises Some Points to Ponder , 2000 .

[32]  Johnson De.  Telehealth expands unrealized dream. , 2000 .

[33]  Babita Gupta,et al.  Knowledge management: practices and challenges , 2000, Ind. Manag. Data Syst..

[34]  The pediatric promise. Telemed gives northern California hospital 24-hour access to pediatric specialists. , 2001 .

[35]  Rajeev K. Bali,et al.  Towards gestalt telehealth: considering social, ethical and cultural issues , 2001, Canadian Conference on Electrical and Computer Engineering 2001. Conference Proceedings (Cat. No.01TH8555).