MSc in International Health

Management

Essay Title: In which ways information technology could be useful in

the management of hospitals and how it can contribute to the
reduction of economic costs in the health sector?

Name: Atefeh Moafian

Date: 18/02/2024

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Statement of compliance with academic ethics and the avoidance of plagiarism

I honestly declare that this essay is entirely my own work and none of its part has been copied from printed
or electronic sources, translated from foreign sources and reproduced from essays of other researchers
or students. Wherever I have been based on ideas or other people texts I clearly declare it through the
good use of references following academic ethics.

(In the case that is proved that part of the essay does not constitute an original work, but a copy of an
already published essay or from another source, the student will be expelled permanently from the
postgraduate program).

Name and Surname (Capital letters):

ATEFEH MOAFIAN (Q1056103)

Date: 18/02/2024

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TABLE OF CONTENTS

Introduction 4

Improving hospital operations through IT 6

Electronic Health Records (EHRs) 6

Hospital Information Systems 7

Telehealth and Remote Monitoring 7

Data Analytics and Artificial Intelligence (AI) 8

Hospitals’s Cost reduction through IT 10

Reduced paperwork and administrative burden 10

Improved resource utilization 11

Prevention and early intervention 11

Negotiation and procurement 12

Future trends 13

Concluding Remarks 14

Bibliography 16

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INTRODUCTION

In an era of recession and rising healthcare costs, hospitals face formidable challenges in
delivering high-quality patient care and reducing costs. As healthcare costs rise worldwide,
hospitals are under increasing pressure to find innovative solutions that improve surgical
efficiency and reduce costs without compromising patient outcomes. In this context, information
technology (IT) is emerging as a transformative force, providing unparalleled opportunities to
streamline processes, improve resource utilization, and reduce costs in healthcare systems
(Alotaibi & Federico, 2017; Hwang et al., 2023).

According to recent studies, global healthcare spending is projected to exceed $10 trillion by
2022, placing an unprecedented financial burden on hospitals and healthcare systems worldwide
(Hwang et al., 2023). These impressive statistics underscore the urgent need for innovative cost-
cutting strategies in healthcare.

Hospitals operate in a complex ecosystem characterized by patient needs, regulatory

requirements, and technological advances. In this dynamic environment, the pressure to control
the cost of high-quality care has never been greater. In the face of increasing demand for
healthcare and rising operating costs, traditional cost containment strategies, such as downsizing
or cutting jobs, are no longer sustainable (Hwang et al., 2023).

Information technology (IT) has emerged as a game changer in cost-cutting efforts in the
healthcare sector. Using IT solutions, hospitals can automate systems, improve data accuracy,
and enhance communication among healthcare providers for more efficient operations and
outcomes (Alotaibi & Federico, 2017). From electronic health records (EHRs) to telehealth
remote monitoring technology, IT streamlines operations, optimizes resource allocation, and
reduces healthcare costs (Hwang et al., 2023).

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This article examines the multidimensional role of information technology (IT) in reducing costs
and increasing operational efficiency among hospital executives. By exploring key areas such as
reducing paperwork and administrative burdens, improving infrastructure, prevention and early
intervention, and communication and procurement, we will demonstrate how IT can be used to
achieve significant cost savings while improving patient care (Low et al., 2013; Hwang et al.,
2023).

Now, let’s delve into how IT can contribute to cost reduction and efficiency among hospital
executives. Through an in-depth analysis of each sector, we will demonstrate the transformative
potential of information technology to transform healthcare delivery and ensure consistent,
high-quality patient care around the world.

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IMPROVING HOSPITAL OPERATIONS THROUGH IT

In today's rapidly evolving healthcare landscape, the integration of information technology (IT)
has become imperative for hospitals striving to enhance operational efficiency and patient care.
This essay explores the multifaceted role of IT in improving hospital operations, focusing on
electronic health records (EHRs), hospital information systems (HIS), telehealth and remote
monitoring, and data analytics and artificial intelligence (AI) (Low et al., 2013; Mayo Clinic).

Electronic Health Records (EHRs):

Electronic health records (EHRs) represent a transformational change in the patient information
management landscape, bringing many benefits to both healthcare providers and patients. One
of the most profound benefits of EHR adoption is information that achieves and increases
communication among healthcare professionals. By digitizing patient records, the EHR enables
easy coordination of care across departments and healthcare systems. This communication
ensures that pertinent patient information is readily available to authorized personnel,
facilitating timely and informed decision-making (Low et al., 2013).

The impact of improved communication facilitated by EHRs extends beyond productivity to

tangible improvements in patient outcomes. A compelling example of this can be seen in a
comprehensive study at Memorial Hospital, where the use of an EHR resulted in a remarkable
20% reduction in medication errors (Low et al., 2013). This reduction in errors can be attributed
to patient's up-to-date information obtained through EHRs.

However, the widespread adoption of EHRs is not without challenges. An important barrier is the
standardization of data structures and protocols across health systems. In addition to the lack of
unity in data systems that can hinder communication and data exchange between disparate
systems, leading to inefficiencies in care, there are significant data security and privacy concerns
in the digital health record during this period. Hospitals must be governed by strict rules and
implement strict security measures to protect sensitive patient data. Mercy Medical Center, for

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example, has taken proactive steps to address these concerns by implementing state-of-the-art
encryption and access technologies to protect patient information from compromise (Low et al.,
2013).

Even without these challenges, the advantages of EHR adoption far outweigh the drawbacks.
Continued advances in enterprise standards, data security measures, and user interface design
ensure that EHRs are poised to play an even more important role in shaping the future of
healthcare delivery in the coming years (Low et al., 2013).

Hospital Information Systems (HIS):

It facilitates hospital information system (HIS) management tasks such as scheduling, billing, and
inventory management (Hwang et al., 2023). Decision support systems built into the HIS assist in
clinical decision-making by providing evidence-based recommendations (Hwang et al., 2023). For
example, St. Louis Joseph’s Hospital saw a 30% reduction in systematic errors and a 25%
reduction in billing errors following the implementation of HIS and its integration with clinical
research facilitates adoption of new treatments (Hwang et al., 2023). Emerging technologies such
as blockchain hold the promise of further enhancing NE applications by ensuring data integrity
and security (Elangovan et al., 2022).

Telehealth and Remote Monitoring:

Telehealth and remote sensing technologies expand patient access to healthcare services while
optimizing resource allocation (Mayo Clinic, 2022). Telehealth enables remote counseling,
chronic disease management, and surgical follow-up, reducing hospital readmission rates and
freeing up acute care resources (Mayo Clinic, 2022). For example, the Mayo Clinic reported a 15%
reduction in hospital readmissions after implementing telehealth services (Mayo Clinic, 2022).
However, legal and ethical considerations such as data privacy and equitable access need to be
addressed to ensure the wide adoption of telehealth technology (Mayo Clinic, 2022).

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Data Analytics and Artificial Intelligence (AI):

Data analytics and artificial intelligence (AI) represent cutting-edge technologies with
tremendous potential to transform healthcare delivery (Davenport et al., 2022). By harnessing
the power of advanced systems and large datasets, hospitals can gain insights that can be used
to improve clinical decision-making, ultimately improving patient outcomes (Davenport et al.,
2022). AI systems are adept at analyzing complex medical issues, recognizing patterns, and
predicting patient needs with greater accuracy than human capabilities (Davenport et al., 2022).

One compelling example of the transformative impact of AI on health can be found in the
pioneering work of the Cleveland Clinic. By using AI to analyze medical images, the hospital
achieved an impressive 20% increase in diagnostic accuracy (Hudson, 2023). These advances not
only increase screening efficiency and accuracy but also promise early detection and
intervention, improving patient prognosis and clinical outcomes (Hudson, 2023).

However, the widespread use of AI in health care is not without ethical considerations. One
particular concern is the possibility of unintentional algorithmic bias perpetuating inequities in
health care delivery (Hudson, 2023). AI algorithms rely on historical data to make predictions and
recommendations, which can inadvertently reveal biases in data (Hudson, 2023). For example, if
historical data represent demographics or healthcare parameters some in particular, AI
algorithms can produce skewed or inaccurate recommendations (Hudson, 2023).

Addressing these ethical concerns requires significant efforts to ensure transparency and fairness
in AI-driven decision-making processes (Hudson, 2023). Healthcare organizations need to
prioritize insight into algorithm development and implementation, allowing for evaluation and
accountability (Hudson, 2023). In addition, efforts should be made to diversify data sets and
reduce bias to ensure that AI algorithms deliver the same results for all patient populations
(Hudson, 2023).

Additionally, continuous monitoring and evaluation of AI algorithms is essential to identify and

mitigate potential biases over time (Hudson, 2023). By implementing strong governance

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structures and ethical guidelines, hospitals can uphold the principles of fairness, equity, and
patient-centered care in implementing AI technology (Hudson, 2023).

In conclusion, data analytics and AI have the potential to transform healthcare delivery by
providing hospitals with insights that can be used to improve clinical decisions and patient
outcomes (Hudson, 2023). While AI holds great promise for increasing efficiency and accuracy in
healthcare, ethical considerations regarding algorithmic biases must be treated with caution
(Hudson, 2023). By prioritizing transparency, fairness, and accountability in AI-led decision-
making processes, hospitals can harness the full potential of this transformative technology to
provide more equitable and patient-centered care (Hudson, 2023).

Therefore, the integration of information technology into clinical practices is critical to delivering
efficient and quality patient care. In my Idea, Theses methods together, I mean EHRs, HIS,
telehealth, data analytics, and AI are transforming healthcare delivery by enhancing
communication, streamlining administrative tasks, expanding patient care, and improving clinical
decision-making (Hwang et al., 2023; Mayo Clinic; Davenport et al., 2022). Addressing challenges
such as algorithms and biases is essential as hospitals innovate and adapt to technological
advances, and the future of healthcare holds great promise for improving patient outcomes and
reducing costs through mouth informational medicine.

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HOSPITALS’S COST REDUCTION THROUGH IT

Reduced paperwork and administrative burden:

Information technology (IT) plays a key role in reducing paperwork and streamlining workflows
in hospitals, heralding the shift towards digitization and efficiency (Appleby et al., 2021). The
transition from traditional paper records to electronic documentation systems provides hospitals
with many benefits, including greater and more accurate patient data (Appleby et al., 2021).
Digitizing records significantly reduces operating costs and administrative errors, allowing
hospitals to overcome obstacles as it is located on the physical document entry (Appleby et al.,
2021). This enables seamless sharing and retrieval of information across departments and health
care systems.

For example, Cleveland Clinic, a leading healthcare organization in the U.S., embarked on an
unprecedented journey towards digital transformation by implementing electronic health
records (EHRs) (Hudson, 2023). This strategy delivered impressive results, including an impressive
40% reduction in paper-related costs (Hudson, 2023). These tangible results highlight the
significant impact of IT solutions in transforming business processes in health care organizations.

However, the successful implementation of ICT solutions in healthcare is not without challenges.
One of the most significant barriers hospitals often face is the initial investment associated with
implementing and integrating IT infrastructure and systems (Hwang et al., 2023). From acquiring
hardware and software to training employees and optimizing business processes, the financial
commitment required for IT implementation can be substantial (Hwang et al., 2023). In addition,
stringent legal requirements and data privacy issues should be guided to protect sensitive patient
information and ensure compliance with legal and ethical standards (Hudson, 2023).

Addressing these challenges requires a multi-faceted approach including strategic planning,

stakeholder engagement, and continuous improvement (Appleby et al., 2021). Hospitals should
invest in robust IT infrastructure and cybersecurity measures to mitigate risks and protect against

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data breaches or unauthorized use (Appleby et al., 2021). In addition, ongoing training and
support for healthcare professionals is essential to foster a culture of digital literacy and skills and
to enable staff to leverage the full potential of IT solutions in their daily work (Appleby et al.,
2021).

In addition, collaboration and knowledge sharing between healthcare organizations contribute

to innovation and best practices in IT adoption (Hwang et al., 2023). By leveraging industry
partnerships and collaborations, hospitals can exchange insights, lessons, and success stories to
facilitate a smooth transition to digitized healthcare environments (Hwang et al., 2023).

Improved resource utilization:

Resource efficiency is essential to reduce costs and improve healthcare delivery. IT solutions
enable hospitals to better manage bed occupancy, staffing schedules, and equipment utilization,
reducing waste and increasing efficiency (Appleby et al., 2021). For example, in Berlin, Europe,
Charité provides IT-powered predictive analytics used to optimize bed allocation, resulting in a
30% reduction in waiting times and a 20% increase in bed conversions (Appleby et al., 2021).
Despite these benefits, hospitals may face challenges in implementing IT solutions functionally,
such as integrating employee training requirements with existing systems (Appleby et al., 2021).

Prevention and early intervention:

Tools that harness the power of IT to manage chronic diseases and provide preventive care play
an important role in reducing the long-term costs associated with preventable diseases and
complications (Elangovan et al., 2022). For example, technology-enabled remote monitoring
allows for better monitoring of patients' health status and early intervention. Singapore General
Hospital in Asia Pacific implemented a remote management system for patients with diabetes,
reducing hospitalizations by 30% and healthcare costs by 25% (Elangovan et al., 2022). However,
overcoming gaps in access to technology to ensure that patients comply with IT-enabled
prevention remains a ubiquitous challenge (Elangovan et al., 2022).

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Negotiation and procurement:

Data analytics play a key role in enabling hospitals to make informed purchasing decisions and
develop effective communication strategies when acquiring medical supplies and equipment
(Hwang et al., 2023). For example, consider the Aga Khan University Hospital in Nairobi, Africa,
which recognized the power of data analytics to transform its purchasing behavior (Hwang et al.,
2023). Using data analytics tools and techniques, the hospital embarked on a transformational
journey of change to streamline its procurement process and save costs (Hwang et al., 2023).
With actionable insights from data analytics, the Aga Khan University Hospital was able to
negotiate significantly better deals with suppliers, achieve stronger pricing and terms, and
increase supplier compliance (Hwang et al., 2023).

However, implementing data-driven procurement strategies is not without its challenges.

Hospitals must navigate barriers such as data interoperability and vendor lock-in, which can
prevent seamless integration of disparate data sources and changes in vendor relationships
(Hwang et al., 2023). Overcoming these challenges requires establishing a robust data
governance framework, ensuring data standardization and consistency, and promoting
transparency and mutual trust efforts to coordinate with and promote suppliers (Hwang et al.,
2023). In addition, hospitals should be alert to potential pitfalls such as data bias and
inaccuracies, which can undermine the integrity and reliability of research-driven insights (Hwang
et al., 2023). By prioritizing processes to ensure data quality and implementing a rigorous
validation process, hospitals can reduce the risk of incorrect decisions and enhance the
effectiveness of their data analysis processes (Hwang et al., 2023).

Data analytics represents a powerful tool for hospitals seeking to enhance their procurement
processes and drive cost savings in the acquisition of medical supplies and equipment (Hwang et
al., 2023). Through meticulous analysis of procurement data and market dynamics, hospitals can
identify opportunities for optimization, negotiate favorable contracts, and foster strategic
partnerships with suppliers. While challenges such as data interoperability and vendor lock-in
may pose obstacles, hospitals can overcome these hurdles through diligent planning,
collaboration, and a commitment to data-driven decision-making (Hwang et al., 2023). As

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hospitals continue to embrace the transformative potential of data analytics, they stand poised
to realize tangible benefits in terms of cost reduction, operational efficiency, and ultimately,
improved patient care outcomes.

Future trends:

Looking ahead, emerging technologies such as blockchain and cloud computing hold the promise
of reducing costs and further enhancing the efficiency of resources in healthcare (Appleby et al.,
2021). Blockchain technology provides a secure and transparent data exchange, enabling
hospitals to streamline business processes and improve data integrity (Elangovan et al., 2022).
Similarly, cloud computing solutions provide a flexible and cost-effective framework for hosting
IT systems and applications, facilitating collaboration and seamless innovation in healthcare
(Hwang et al., 2023).

To conclude this section, I must acknowledge that IT plays an important role in reducing costs
and improving operational efficiency in healthcare systems (Hwang et al., 2023). By using IT
solutions to reduce paperwork, improve resource utilization, simplify prevention and early
intervention, and enhance communication and procurement strategies, hospitals can achieve
significant cost savings while improving patient outcomes (Appleby et al., 2021; Elangovan et al.,
2022; Hwang et al., 2023). As healthcare continues to evolve, hospitals must embrace emerging
technologies and new ways to reduce costs and ensure sustainable and equitable healthcare for
all.

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CONCLUSIONS

This paper examines the role of information technology (IT) in many aspects of transforming
clinical management and reducing costs. It shines a light on how IT facilitates seamless
communication through electronic health records (EHRs), streamlines administrative tasks
through hospital information systems (HIS), expands patient choice through telehealth, and
delivers data-driven decisions through analytics and artificial intelligence (AI) power (Davenport
et al., 2022). Every aspect of the health care system stands to benefit from these
improvements, including improved quality of care for patients and reduced hospital
readmissions leading to operational efficiencies and economic growth.

But beyond the successes, it is important to acknowledge the obstacles. Initial investments
associated with IT infrastructure and staff training can be substantial, potentially hampering
under-resourced hospitals (Hwang et al., 2023). To address data security and privacy concerns
through robust cybersecurity policies and compliance with complex regulations (Hwang et al.,
2023). Integrating disparate IT systems within and between organizations is challenging,
requiring standardization and interoperability solutions. These barriers require a collaborative
approach involving hospitals, technology vendors, and policymakers to promote innovation,
facilitate adoption, and mitigate risks.

Looking ahead Healthcare is poised to change once again with the growing capabilities of
emerging technologies such as blockchain and the Internet of Medical Things (IoT) Blockchain
for secure and transparent data exchange, provides improved data integrity, and simplifies
business processes. IoT devices integrated with medical devices promise real-time patient
monitoring, remote interventions, and data-driven insights into preventive care and
personalized treatment planning These advances help increase resource efficiency, reduce
labor reductions, and ultimately reduce costs. They hold great promise in enabling effective
care.

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Therefore, maximizing the potential of IT necessitates proactive measures:

1. Policy Changes: Governments should enact policies that incentivize IT adoption in healthcare,
such as tax breaks for technology investments and grants for research and development.
Additionally, robust data privacy regulations balanced with data accessibility for legitimate
healthcare purposes must be established.

2. Investment Priorities: Hospitals should prioritize strategic investments in interoperable IT

infrastructure, cybersecurity solutions, and user-friendly interfaces to bridge the digital divide
and empower healthcare professionals. Additionally, ongoing upskilling initiatives are crucial to
ensure staff proficiency in navigating new technologies and reaping their full benefits.

3. Research Directions: Further research is needed to develop cost-effective IT solutions

tailored to the specific needs of resource-constrained settings. Collaborative research efforts
between academia, technology companies, and healthcare institutions should explore how
emerging technologies like AI and IoT can be harnessed to optimize resource allocation, reduce
disparities in healthcare access, and ultimately, deliver equitable and affordable care for all.

In conclusion, information technology represents a powerful catalyst for positive change and cost
reduction in clinical management. By acknowledging the challenges, embracing emerging
technologies, and prioritizing strategic investments, hospitals can pave the way for a future in
which information technology enables more efficient health care, and cost-effective, patient-
based efficacy. The call to action underpins a concerted effort to unlock the full potential of
information technology and transform healthcare for the good of patients, healthcare
professionals, and society as a whole.

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BIBLIOGRAPHY

Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient
safety. Saudi Medical Journal. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787626/

Bailit, M. H., Hwang, A., Kanneganti, D., & Flaherty, G. (2023, January 12). State strategies for
controlling health care costs: Implementation guides. The Commonwealth Fund.
https://www.commonwealthfund.org/publications/2023/jan/state-strategies-controlling-
health-care-costs-implementation-guides

Cleveland Clinic. (n.d.). https://my.clevelandclinic.org/

Elangovan, D., Long, C. S., Bakrin, F. S., Tan, C. S., Goh, K. W., Yeoh, S. F., Loy, M. J., Hussain, Z.,
Lee, K. S., Idris, A. C., & Ming, L. C. (2022, January 20). The use of blockchain technology in the
health care sector: Systematic review. National Library of Medicine.
https://pubmed.ncbi.nlm.nih.gov/35049516/

Hartzband, D. (2021, August 2). Information technology and data in healthcare (HIMSS Book
Series) (1st ed.).

Hendricks, J., Appleby, C., Wurz, J., Shudes, C., Chang, C., & Shukla, M. (2021, October 26).
Digital transformation from a buzzword to an imperative for health systems. Deloitte Insights.
https://www2.deloitte.com/us/en/insights/industry/health-care/digital-transformation-in-
healthcare.html

Hudson, C. (2023, July 6). How 5 healthcare organizations are investing in AI for patient care.
Modern Healthcare. https://www.modernhealthcare.com/technology/ai-patient-care-
cleveland-clinic-providence-adventhealth

Low, A. F. H., Phillips, A. B., Ancker, J. S., Patel, A. R., Kern, L. M., & Kaushal, R. (2013, November
26). Financial effects of health information technology: A systematic review. The American

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Journal of Managed Care. https://www.ajmc.com/view/financial-effects-of-health-information-
technology-a-systematic-review

Mayo Clinic. (n.d.). https://www.mayoclinic.org/

McCormack, M. (2017, April 25). How Cleveland Clinic tackles EHR implementation. Software
Advice. https://www.softwareadvice.com/resources/how-cleveland-clinic-tackles-ehr-
implementation/

Singapore General Hospital. (n.d.). https://www.sgh.com.sg/

Telehealth: Technology meets health care. (2022, June 18). Mayo Clinic Staff.
https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/telehealth/art-
20044878

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