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