title: Identifying organizational capacities and incentives for clinical data-sharing: the case of a regional perinatal information system.
abstract: The development of regional data-sharing among healthcare organizations is viewed as an important step in the development of health information technology (HIT), but little is known about this complex task. This is a case study of a regional perinatal data system that involved four hospitals, together responsible for over 10,000 births annually. Using standard qualitative methods, we chronicled project milestones, and identified 31 "critical incidents" that delayed or prevented their achievement. We then used these critical incidents to articulate six organizational capacity domains associated with the achievement of project milestones, and a seventh domain consisting of organizational incentives. Finally, we analyzed the relationship of milestone achievement to the presence of these capacities and incentives. This data center case suggests four requirements for sharing data across organizations: 1) a readiness assessment; 2) a perceived mandate; 3) a formal governance structure; and 4) a third party IT component.
authors: Childbirth Research Associates, LLC Los Angeles, CA, USA. korst@usc.edu
authors: Lisa M
authors: LM
authors: Korst
authors: Jordana M K
authors: JM
authors: Signer
authors: Carolyn E
authors: CE
authors: Aydin
authors: Arlene
authors: A
authors: Fink
mesh_terms: D003299:Cooperative Behavior; D005260:Female; D006739:Hospital Administration; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D007231:Infant, Newborn; D015141:Los Angeles; D008498:Medical Record Linkage / Q000379:methods*; D009035:Mothers; D009042:Motivation; D019982:Organizational Case Studies; D009936:Organizational Innovation; D016134:Organizational Policy; D010500:Perinatology / Q000458:organization & administration*; D015397:Program Evaluation; D012041:Regional Medical Programs