Micro level
|
Health Information System (HIS) quality, which refers to the accuracy, completeness and availability of the clinical information content; features, performance and security of the system; and responsiveness of the support services.
|
Usage quality which refers to HIS usage intention/pattern and user satisfaction in terms of usefulness, ease of use and competency.
|
Net benefits, which refer to the change in care quality, access and productivity as a result of HIS adoption by clinicians. Care quality includes patient safety, appropriateness/ effectiveness, and health outcomes. Access refers to provider/patient participation and availability/access to services. Productivity covers care coordination, efficiency and net cost.
|
Meso level
|
People meaning the individuals/groups involved, their personal characteristics and expectations, and their roles and responsibilities with the HIS.
|
Organization which refers to how the HIS fits with the organization’s strategy, culture, structure/processes, info−/infrastructure, and return on value.
|
Implementation which involves the HIS adoption stages, project management approaches and the extent of the HIS’s fit for the practice.
|
Macro level
|
Healthcare standards in terms of the types of HISs organizational performance and professional practice standards in place.
|
Funding and incentives which refer to the added values, remunerations and incentive programs.
|
Legislation/policy and governance in terms of the influence of legislative acts, regulations/policies and governance bodies, such as professional associations/colleges and advocacy groups, and their attitudes toward HIS.
|
Societal, political and economic trends which include public expectations and the overall socio-political and economic climates with regards to technologies healthcare and HIS.
|