Contact Us
Sign In / Sign Up for FREE
Go to advanced search...

Systems Integration in Information Technology - Research Paper Example

Comments (0) Cite this document
Kaiser Permanente, comprising the Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, and Permanente Medical Groups is the largest nonprofit integrated health care delivery system in the United States. Kaiser Permanente has pioneering experience in information technology…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER96.2% of users find it useful
Systems Integration in Information Technology
Read TextPreview

Extract of sample "Systems Integration in Information Technology"

Submitted too: Kaiser Permanente: System Implementation Breakdown 2006-2008 Integrated Practice and Group Accountability in Health Information Technology.:
Author’s Note
Kaiser Permanente, comprising the Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, and Permanente Medical Groups is the largest nonprofit integrated health care delivery system in the United States. Kaiser Permanente has pioneering experience in information technology in health care for more than 40 years to improve clinical and administrative functions. Its use of electronic health records (EHRs) dates back to the 1990s. Kaiser Permanente in 2003 launched a $4 billion health information system called KP Health Connect that links its facilities nationwide and represents the largest civilian installation of EHRs in the United States. Shortly after the system wide integration, in 2006, problems within the system architecture resulted in a dangerous breach of patient care. The system breakdown as described by Kaiser Permanente executives and industry leaders was a direct result of integration of an information technology (IT) component of the KP Health Connect system.
Kaiser Permanente envisioned the KP Health Connect system as a seamless integration of resources that in theory would electronically connect members to their health care team, to their personal health information, and to all relevant medical knowledge available to promote integrated health care.(Cochran, 2009) Ideally Kaiser Permanente members would complete an annual online health risk assessment, then receive customized feedback on behavioral interventions, start pro-active health behavior change programs, and choose whether to send results to KP Health Connect to facilitate communication and information sharing with their with their physician.(Montalbano, 2008)
In reality Kaiser Permanente was abandoning a very costly attempt made in the late 1990’s and early parts of this decade to build its own clinical information system with IBM. Kaisers approach shifted to "buy, not build," (Montalbano, 2008) after the earlier failure with the IBM system. The project’s expansive scope was unprecedented for a civilian company. To purchase an “off-the-shelf system” (Montalbano, 2008), Kaiser studied two medical software vendors, Cerner and Epic Systems, ultimately selecting Epic as the primary vendor for a new system that would eventually become KP Health Connect. .(Cochran, 2009)
Kaiser Permanente attempted with the “off-shelf” system to fully integrate the company’s previous EHR’s and collect all their data into one system.(Cochran, 2009) The resulting loss of access and availability of patient records and billing histories has been described as a “catastrophic information technology failure” (Montalbano, 2008) caused by a “misunderstanding of technology”(Cochran, 2009) that led to a major break down in the organizations ability to route all patient records. The circumstances and systemic failures with the KP Health Connect system are directly attributable to a failure of integration between IT systems.
II. Problem Analysis:
The fundamental “misunderstanding of technology”(Cochran, 2009) made by Kaiser Permanente is the fact that not all IT systems are created in the same fashion. By nomenclature alone IT systems possess different and dissimilar data structures and architecture that result in an incompatibility at a very structural level.(Aarts, Berg, 2004) Kaiser Permanente Managers failed miserably to comprehend the dissimilarities within the existing company IT base and the new “off the shelf” system from Epic. (Montalbano, 2008) The resultant was a quirky sometimes incomprehensible integration program that effectively created the foundation for a massive IT disaster. What was originally conceived as a 45 day integration turned into a two year system re-boot that cost Kaiser Permanente almost 480 million dollars.(Cochran, 2009)
IV-System Integration Failure:
Although the inappropriate choice of technologies was ultimately the responsibility of poor management the complete lack of a cohesive integration plan across the existing and selected technologies was a dominant factor in the failure of Kaiser Permanente to realize the full potential of innovations offered by the Epic system. The very nature of the extant research preformed on the “off the shelf” software did not pay enough attention to technology integration and its relationship to performance as a specification of selection.(Ash,Berg, 2004). The most significant obstacle to the successful system integration was the absence of a universal definition of an EHR (Barki, 2005) by Kaiser Permanente Managers. Health care providers must have a specific and concrete definition of what the EHR is and what it must consist of.(Ash,Berg, 2004) Empirical studies in health care have sufficiently demonstrated that basic system nomenclature too often dictate the ease or degree of difficulty encountered in wide spread system integrations. (Barki, 2005) Ultimately managers based their software selection on future projected requirements for the EHR’s instead of focusing on near term system realities of how the systems would co-exist and integrate. The different technology platform offered by Epic was an advanced integrated system; unfortunately, the IT vendor did not exactly know what to supply Kaiser Permanente in regards to how to manage the integration with the existing EHR system. (Montalbano, 2008)
The circumstances and systemic failures with the KP Health Connect system are numerous and describe a system integration gone terribly wrong. Most industry groups point directly at the human error created by management.(Cochran, 2009) However , in the defense of Kaiser Permanente the integration between the IT systems was in fact a great unknown derivative. Neither Epic nor Kaiser Permanente managed to ask or answer any of the correct questions concerning exactly how KP Health Connect would function within the entire data management network. Both Epic and Kaiser Permanente assumed the other party had the answers, when in fact neither did. The resultant failure was an EPIC disaster in IT system integration.
E. Montalbano, 2008 Microsoft, Kaiser Pilot Integration of E-health Systems, ABC News/IDG News Service, June 9, 2008,
J. H. Cochran, 2009, Statement on Behalf of the Kaiser Permanente Medical Care Program Before the Committee on Health, Education, Labor, and Pensions (Washington, D.C.: United States Senate, Jan. 15, 2009).
Aarts, J. Berg, E. 2004. Understanding Implementation: The Case of a Computerized Order Entry System in a Large Dutch University Medical Center. J. Amer. Med. Inform. Assoc. 11(3) 207-216.
Ash, J. S., M. Berg, E. 2004. Some Unintended Consequences of Information Technology in Health care: The Nature of patient Care Information System-related Errors. J. Am Med Inform Assoc 11(2) 104-112.
Barki H., 2005. A Model of Organizational Integration, Implementation Effort, and Performance. Organization Science 16(2) 165-179. Read More
Cite this document
  • APA
  • MLA
(“Systems Integration in Information Technology Research Paper”, n.d.)
Systems Integration in Information Technology Research Paper. Retrieved from
(Systems Integration in Information Technology Research Paper)
Systems Integration in Information Technology Research Paper.
“Systems Integration in Information Technology Research Paper”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Systems Integration in Information Technology

New Information Technology Systems Speciation

...?BA MIT Assignment New Information Technology Systems Speciation Table of Contents Executive Summary At the present, information technology has revolutionized the ways people carry out their daily tasks. It has offered amazing tools and techniques to make these tasks easy and straightforward. At the present, almost all the organizations make use of information technology to carry out their business activities. They use e-commerce and information systems to run their business effectively. In this scenario, e-commerce is used to carry out business activities on internet. On the other hand,...
18 Pages(4500 words)Essay

Three Information Technology Systems

...? Criminal Justice Three Information Technology Systems (100-150) Understanding how to successfully use technological systems is essential for the success of any police department in combating crime in their city. The utilization of mapping systems which show at a glance where certain types of crime may be occurring is important when deciding where to put certain amounts of patrol units so that the presence will discourage and prevent further crimes and to also solve them at the same time. When investigations are conducted into crimes and fingerprints are recovered, it is very helpful to have access to the database...
4 Pages(1000 words)Assignment

Information Technology

.... Following this particular model will also lead towards the improvement of the information systems in the organization. It is worth mentioning that the model can be utilized for the purpose of determining the quality of services that are offered to the end customers. These aspects can prove to be quite important in relation to evaluating the technology integration process of IBM. In addition, the aspects of System Quality and Quality of Services can lead towards fulfillment of the requirements of other businesses in the form of raising satisfaction levels of the consumers. It can be affirmed from a broader outlook that the model will provide greater...
8 Pages(2000 words)Essay

Information, Information Technology and Information Systems

...of Information, Information Technology and Information Systems 06 June 2006 With the increasing demand of competition in the market at present, the company's interest must necessarily be protected to insure sustainability amidst an erratic economy. Such can be possible with the help of Business Intelligence software that not only safeguards the interest of the firm, but likewise facilitates efficiency for both the product and personnel. With the availability and use of modern technology, a product can achieve stability and edge in the market with careful monitoring of its movement coupled with bold yet strategic maneuvers. This is true...
3 Pages(750 words)Essay

Information Systems and Technology

...This Assignment relates to the case study: JP Morgan Chase Shifts IT Outsourcing into Reverse Information Systems and Technology Student NO. S0507351/ 2 Name of University Abstract This case study gives an overview of JP Morgan Chase's move back from outsourcing. In this paper, we will discuss their information technology and information systems strategy in relation to their business requirements. We will also discuss the methods which might be used for developing new systems following the merger with Bank One based on our own knowledge of systems theory and systems...
8 Pages(2000 words)Case Study

Erp systems and integration

...Introduction With organizations increasing size, the need to integrate different business processes has become vital for their smooth functioning.Besides, the amount of information flowing through an organization is also continuously increasing. Therefore, to manage the flow of information amongst different functional entities, an integrated system is required. This requirement is fulfilled by ERP or Enterprise Resource Planning. Prior to ERP, there were various computer systems which were restricted to a specific function. Integrating and coordinating these different computer systems and their data was complex and cumbersome, and the compatibility of the systems was also a major issue. This problem is overcome by ERP... . Evolution...
9 Pages(2250 words)Essay

Comair's information systems and information technology

...more better user interface and working performance. This will enhance the overall scheduling of the AirCrews operations. 0The new AirCrews operations scheduling system will integrate the state of art technology for the efficient management of the organizational information and better payroll assessment. For the development and accomplishment of the new AirCrews operations scheduling system Comair’s IT department has requested SABRE, SBS, and other vendors to make obvious crew management systems in late 2002. But the airline did not consign to a new solution at that time because of cost concerns. Then after that there are several...
10 Pages(2500 words)Essay

Information Technology and Information Systems for Business

...of 2009. With 11 personal stores in Finland and 2 in St. Petersburg, NA aims to establish Finnish fashion internationally and for this they need to take steps to compete in the world’s fashion industries (Naisten Pukutehdas Oy 2010). b. Project Information The project involves a proposed system of embedding RFID tags into the products of the company for a better customer experience and benefits of low-cost and an increased market. The implementation of this proposal will require subtle changes in the system including training the employees to learn using the new technology and assisting customer in enjoying the facility. It requires purchasing equipment from the...
4 Pages(1000 words)Essay

Component Based Development in Systems Integration

...and reduce production time and cost. Systems integration deals with taking necessary steps to integrate information technology system from a given level of integration to a greater one. It is incorporated by merging distinct entities into a single cohesive entity and including them in an already existing system. The component based development also follows a method of system integration. It was one of the pioneering and first ideas of using industrial principle. Present component based system development is the second key concept related to...
10 Pages(2500 words)Research Paper

Athens State Information Systems and Information Technology

... Athens State Information Systems and Information TechnologyTechnology has brought great transformation not only in business but also in today’s education system. The traditional classrooms of bricks as well as mortar are long gone. The college students has also been modernised by technology whereby they only need a computer and have access to internet in order for them to access class sessions. Technology has replaced the old college classes to digital classroom. Athens State University is one of the Campuses that have adopted the use of technology in delivering services to students....
4 Pages(1000 words)Research Paper
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Research Paper on topic Systems Integration in Information Technology for FREE!

Contact Us