Performance and cost evaluation of health information systems using micro-costing and discrete-event simulation

Olfa Rejeb, Claire Pilet, Sabri Hamana, Xiaolan Xie, Thierry Durand (), Saber Aloui (), Anne Doly (), Pierre Biron (), Lionel Perrier and Vincent Augusto ()
Additional contact information
Olfa Rejeb: MINES Saint-Étienne
Claire Pilet: MINES Saint-Étienne
Sabri Hamana: MINES Saint-Étienne
Xiaolan Xie: MINES Saint-Étienne
Thierry Durand: Centre Léon Berard
Saber Aloui: Centre Hospitalier de Sens
Anne Doly: Centre Jean Perrin
Pierre Biron: Centre Léon Berard
Vincent Augusto: MINES Saint-Étienne

Health Care Management Science, 2018, vol. 21, issue 2, No 5, 204-223

Abstract: Abstract Innovation and health-care funding reforms have contributed to the deployment of Information and Communication Technology (ICT) to improve patient care. Many health-care organizations considered the application of ICT as a crucial key to enhance health-care management. The purpose of this paper is to provide a methodology to assess the organizational impact of high-level Health Information System (HIS) on patient pathway. We propose an integrated performance evaluation of HIS approach through the combination of formal modeling using the Architecture of Integrated Information Systems (ARIS) models, a micro-costing approach for cost evaluation, and a Discrete-Event Simulation (DES) approach. The methodology is applied to the consultation for cancer treatment process. Simulation scenarios are established to conclude about the impact of HIS on patient pathway. We demonstrated that although high level HIS lengthen the consultation, occupation rate of oncologists are lower and quality of service is higher (through the number of available information accessed during the consultation to formulate the diagnostic). The provided method allows also to determine the most cost-effective ICT elements to improve the care process quality while minimizing costs. The methodology is flexible enough to be applied to other health-care systems.

Keywords: Health information system; Modeling; Discrete event simulation; Micro-costing; Performance evaluation (search for similar items in EconPapers)
Date: 2018
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Citations: View citations in EconPapers (1)

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DOI: 10.1007/s10729-017-9402-x

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