Soa governance in healthcare organisations

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  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Organizational structures during SOA

    implementation: the case of a Greek

    healthcare organization.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Outline

    The Importance of SOA Governance in Healthcare

    Literature Review

    Proposed SOA Governance Framework

    Research Methodology

    Findings

    Conclusions

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Introduction

    Healthcare IS Challenges

    Patient mobility

    Medical tourism

    Interoperability

    Security

    Multiple actors with different roles

    Unique medical requirements

    Complex processes

    Requirements for integrated care

    Redesign towards patient centred

    Rapid expansion of m-health

    Quality management and training

    Task characteristics

    Testing

    ComplexityGlobalization

    Integration Medical Errors

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Security (1/2)

    Despite the sophistication of HIS a largeamount of data transmitted withoutpermission arises from hospitals.

    A recent report states that compromiseddatabases of healthcare organisations areincreasing, with 119 violations compared to39 suffered by the financial services industry.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Security (2/2)

    This phenomenon can have consequences for healthcare:

    privacy violations,

    medical fraud,

    financial identity theft, and

    medical identity theft.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Service Oriented Architecture (1/3)

    SOA supports reusability and flexibility,

    Provides interconnectivity in a more manageable way,

    breaks business processes into smaller blocks of functionality (e.g. services).

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Service Oriented Architecture (2/3)

    SOA can:

    minimise medical errors, by providing dataexchange accurately, effectively, securely andconsistently,

    facilitate the plan to redesign HIS towards patient-centred systems,

    transform heterogeneous and incompatiblesystems in cooperating services based onhealthcare business processes.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Service Oriented Architecture (3/3)

    Despite SOA benefits literature indicates that, 41% of SOA users in the Global 2000 firms believe that:

    SOA has delivered less benefits than expected,

    17% claim they face problems and

    will not expand SOA use

    ..applicability, efficiency and performance are affected by various factors.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    SOA Critical Success Factors (CSF)

    SOA normative

    literature

    In depth

    database

    research

    70 cases from

    SOA in

    healthcare

    Literature

    research

    19 SOA

    CSFs

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Top SOA CSFs in Healthcare

    Governance

    SOA Roadmap

    Culture

    Testing

    Standards

    Projectidentification

    0% 5% 10% 15% 20% 25% 30%

    25%

    13.8%

    9.2 %

    11.5%

    9.2 %

    9.2 %

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    SOA Governance A continuous control process that guarantees

    sufficient adaptability and integrity of a SOA system inissues like:

    capability,

    security and

    strategic business alignment.

    Its overall goal is SOA compliance of legal, technicaland intercompany regulations, respectively. Inparticular, it ensures the reliable long-term operationof an SOA.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    IT Governance Frameworks & Standards

    There is a tendency to adopt IT GovernanceFrameworks, but also a lack of a clear winneramongst them.

    834 business executives from 21 countries and10 industries support that ISO2000 or ITIL isreferred in 28% of them, while COBIT in 12%.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    IT Governance Frameworks & Standards

    ITIL/ISO 2000

    ISO 1779, 2700

    Six Sigma

    COBIT

    PM/PMBOK

    Risk IT (ISACA)

    0% 5% 10% 15% 20% 25% 30%

    28%

    21.1%

    15.1%

    12.9%

    12.7%

    12%

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    IT Governance Frameworks & Standards

    84 out of the 839 respondents (10%) arehealthcare executives

    the percentages drop lower regarding theirfocus on IT Governance in healthcare.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    SOA Governance

    Literature review on SOA Governance:

    peer-review articles

    5 groups of authors

    5 models/frameworks

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    SOA Governance

    Focused on:

    reporting on the importance of SOA Governance,

    defining important SOA governance elements,

    analysing to the extent possible, these issues(mainly using relative literature) and

    synthesising these issues as elements of theirproposition.

    placed on a SOA Governance concept map.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.Koumaditis, K., Themistocleous, M., Vassilakopoulos, G.,

    Studies in Health Technology and Informatics. Vol. 190 2013. p. 204-206.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    SOA Governance The existing models have numerous limitations,

    There is no single approach that focuses on allnecessary issues,

    Not all the models are structured in a clearmanner, with sufficient justification and detail,

    No model includes healthcare specific aspects,

    Limited testing and empirical justification.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Government: People, Process and Policy 9(3): 263-285.

    Common SOA Governance Elements Organisational Structures,

    Roles,

    Roadmap,

    Best Practices,

    Policies,

    SOA Governance Processes,

    SOA Governance Infrastructure,

    Metrics,

    Maturity model.

  • Koumaditis, K. and M. Themistocleous (2015). "Organizational structures during SOA implementation: the case of a Greek

    healthcare organizationnull." Transforming Go