Felix Köbler, Jens Fähling, Helmut Krcmar, Jan Marco Leimeister IT Governance and Types of IT DecisionMakers in German Hospitals An Empirical Study Among IT Decision Makers Growing expenses for health care services in hospitals stress the potential of a well applied IT governance for cost reduction, productivity gains and a possible source for competitive advantages. The underlying explorative ...

BACKGROUND Fiscal constraints faced by U.S. hospitals as a result of the recent economic downturn are leading to business practices that reduce costs and improve financial and operational efficiency in hospitals. There naturally arises the question of how this finance-driven management culture could affect the quality of care. This paper attempts to determine whether the process measures of tre...

We identify the frequency at which various IT management strategies (e.g., best of breed, best of suite, or singlevendor solutions) are pursued in U.S. hospitals. We also examine hospital characteristics that are associated with pursuing one strategy over another. After combining several secondary data sources, 3343 hospitals were analyzed. Of these, 61 percent indicated a single vendor; 29 per...

Vertical integration strategy has a positive influence on increasing hospital revenues, while horizontal integration strategy has a negative influence on increasing hospital expenses. horizontal integration and vertical integration strategies have a positive influence on hospital profit. Overall, the study shows that a horizontal integration strategy is more profitable than a clinical integrati...

This paper investigates whether hospitals respond in profit-maximizing ways to changes in diagnosis-specific prices, as determined by Medicare's Prospective Payment System and other public and private insurers. Previous studies have been unable to isolate this response because changes in reimbursement amounts (prices) are typically endogenous: they are adjusted to reflect changes in hospital co...

BACKGROUND Identify variables associated with intrapartum epidural use. METHODS Odds ratios were calculated to quantify associations between selected variables and epidural use using a population-based case-control study of Washington State birth certificate data from 2009. RESULTS Non-Whites had 10 - 45% lower odds of epidural use relative to Whites. Foreign-born women had 25 - 45% lower o...

introduction: self-assessment in healthcare is inevitable, like in all other sections. scarce resources, necessity of performance refining, vitality of provided services and quality of services are evidence for necessity of having a proper system of self-assessment of performance in this area. hence, the purpose of present study was to study areas of improvement based on european foundation for...