THE ROLE OF INFORMATION SYSTEMS IN HEALTHCARE ORGANIZATIONS:
Synergies from an interdisciplinary perspective

GUEST SENIOR EDITORS
Rob Fichman, Boston College; fichman@bc.edu Rajiv Kohli, College of William & Mary; rajiv.kohli@mason.wm.edu Ranjani Krishnan, Michigan State University; krishnan@bus.msu.edu

http://www.informs.org/site/ISR/index.php?c=8&kat=Special+Issues
(sub-link to special issue http://www.informs.org/site/ISR/article.php?id=116)

MOTIVATION AND OVERVIEW

Healthcare is an important challenge faced by managers with far reaching implications for a wide range of stakeholders and industries. Overall healthcare spending as a percentage of Gross Domestic Product is 16% in the US (Steinwald, 2007), 10% in Germany and 8% in Japan. The rising cost of healthcare and the lack of health insurance coverage for over 15% of the U.S. population have emerged as important political, economic, and policy issues. The healthcare industry faces major institutional and regulatory pressures different from other industries. Hospitals have to find ways to improve efficiency to drive down the cost of their services and to remain financially viable. All nations, including developed and developing nations are facing pressures to control costs, while at the same time increase outcome quality and access to healthcare. Information systems (IS) have the potential to play an integral role in addressing these challenges.
Successful application of IS in the healthcare industry can create new business models by redefining the traditional relationships between providers, payors, and patients. Increased data availability and transparency can bring data-driven methods to improve healthcare research and practice. Although some of the earliest applications of information systems were in healthcare (e.g. MYCIN as a diagnostic tool for infectious diseases), IS research has not kept pace with the growing information-related challenges in this important industry.

In many industries, employee healthcare costs are hurting firms’ ability to compete in international markets. For example, healthcare related costs add US$1,500 to every vehicle sold by General Motors (Murray 2005). The cost of healthcare also continues to escalate in developing nations e.g. in Asia and Africa, which severely limits access to large segments of the population.
Information technologies can assist in the redesign of organizations and healthcare delivery processes to increase efficiency as well as access to high quality healthcare.

The objective of this special issue is to two fold – (i) to publish rigorous and innovative research demonstrating the role of IS in all segments of healthcare, and (ii) to articulate an agenda for IS research in this emerging and important area.

RESEARCH QUESTIONS

Scholars from all regions of the world are invited to submit papers that examine the role of IS in addressing technical, economic, behavioral, strategic, and organizational issues pertaining to healthcare. Recognizing the diversity of healthcare delivery across nations, we encourage submissions focusing on all segments of healthcare, including providers (hospitals, physicians), payors (government, insurers, and employers), and consumers (patients). The special issue encourages papers involving a variety of theoretical and methodological perspectives. The papers can contribute to further understanding the theoretical issues derived from the unique setting and business challenges facing the healthcare industry. In addition, papers which use rich datasets to provide empirical insights that assist in refutations, extensions, and modifications of existing theories are welcome.

Some prospective topics for the special issue include:

* IS complementarities in healthcare delivery systems

* IT-enabled mechanisms that provide greater access to and models for healthcare delivery

* Impact of IT adoption and use on healthcare efficiency, cost, and quality; and new models for adoption and use of IT/IS in healthcare settings.

* Role of IT/IS in addressing coordination issues among providers, physicians, laboratories, insurers, and employers

* Developing and implementing new economic models of financing of healthcare services through IT-enabled mechanisms

* Assessing the role, impact, and methods of using IS for detecting and preventing clinical errors

* Role of IS in patient-driven initiatives to enhance choice, management, and evaluation of healthcare delivery and financing options

* IT-enabled mechanisms and market-based competition for healthcare services

* Behavior, structure, and impact of electronic communities and virtual worlds that provide support for, treatment of, and research into management of terminal or chronic conditions

* Data-driven methods to improve healthcare operations, patient treatment, and/or predictive medicine

* Computer based simulation and modeling for healthcare treatment, training, and optimization

* Unique challenges and opportunities for intra-organizational systems in healthcare settings (e.g., community e-health initiatives, global health crises, integrated healthcare networks)

* The role of IS in improving care in different national health systems

* Role of IS in fostering improved health and healthier lifestyles

* Challenges of, initiatives in, and impact of data standards on healthcare delivery

* The impact of emerging technologies and healthcare delivery

* Role of Internet and Web 2.0 technologies in creating, accessing, and sharing healthcare related information among patients and providers.

DEADLINES AND SUBMISSIONS
* Submissions Due (February 6, 2009)
* First Round of Decisions (June 2009)
* First Round Revisions due within three months of receipt of first round decision letter.
* Research Symposium (September 2009)
* Second Round of Decisions (February 2010)
* Second Round Resubmissions Due (April 2010)
* Final Decisions (June 2010)

Authors will be required to adhere to a strict schedule for submission and revision of papers. Papers that miss the deadlines will be rejected.

INFORMATION FOR AUTHORS

Papers will receive an initial screening, and only those papers that are deemed to have a reasonable chance of acceptance in an accelerated review process will remain under consideration. Papers that do not pass this initial screening will not be considered further.

For papers that pass the initial screening, authors will have a maximum of three reviews undertaken on their papers. Authors of papers that show promise in the first round of review, will be invited to a workshop (place and date to be determined) to present their revision plan. Selected papers will be invited for a resubmission into the second round. Most decisions will be made following this second round. If a paper is not accepted by the end of the third round of review, it will be rejected. Papers will enter a third round of review only if the revisions to be undertaken after the second round of review are relatively straightforward.

Rejected papers can be submitted as regular submissions to Information Systems Research only if such an action is specifically recommended in the special issue rejection letter. Such a recommendation will only be made in special circumstances, such as when a formally reviewed manuscript is found to possess a strong likelihood of acceptance but is deemed to either be a poor fit with the theme of the special issue or requires revisions that, while perceived to be very doable, are unlikely to be accomplished within the special issue’s accelerated review schedule.

ASSOCIATE EDITOR
Gerald C. Kane, Boston College; gerald.kane@bc.edu

EDITORIAL BOARD MEMBERS
* Corey Angst, University of Notre Dame
* Ramji Balakrishnan, University of Iowa
* Michael Barrett, University of Cambridge, UK
* Anandhi Bharadwaj, Emory University
* Anol Bhattacherjee, University of South Florida
* Carol Brown, Stevens Institute
* Brian Butler, University of Pittsburgh
* Mike Chiasson, Lancaster University
* Wendy Currie, University of Warwick
* Elizabeth Davidson, University of Hawaii
* Sarv Devaraj, University of Notre Dame
* Leslie Eldenburg, University of Arizona
* John H. Evans, University of Pittsburgh
* Samer Faraj, McGill University
* Tina Blegind Jensen, Department of Information Science, Aarhus School of Business
* Mark Keil, Georgia State University
* Bill Kettinger, University of Memphis
* Joe Labianca, University of Kentucky
* Karen Locke, College of William & Mary
* Lars Mathiassen, Georgia State University
* Nirup Menon, Instituto de Empresa Business School, Spain
* Carsten Osterlund, Syracuse
* Rema Padman (Carnegie Mellon University)=20
* Kathleen Seiders, Boston College
* Ajay Vinze, Arizona State University
* Jim Warren (University of Auckland, New Zealand)
* Molly Wasko, Florida State University

REFERENCES

Murray, A. The Economy; Business: Health-Care Overhaul: GM CEO Weighs In.
Wall Street Journal, 2005, p. A.2.

Porter, M.E. and Teisberg, E.O. Redefining Health Care: Creating Value-Based Competition on Results. Harvard Business School Press, Boston, Mass., 2006.

Steinwald, A. B. Health Care Spending: Public Payers Face Burden of Entitlement Program Growth, While All Payers Face Rising Prices and Increasing Use of Services. Testimony Before the Subcommittee on Military Construction, Veterans Affairs, and Related Agencies, Committee on Appropriations, House of Representatives, February 15, 2007. GAO-07-497T.