HIT Outsourcing in Rural Hospitals

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Introduction

Rural hospitals often struggle to stay financially viable while attempting to meet the standard of care set forth by their much larger counterparts. HIT is often seen as an elegant solution to both of these problems, as it is viewed as a money-saving endeavor while keeping healthcare quality at a maximum. However, rural hospitals struggle to implement HIT due to lack of resources, both financial and personnel. A study published by Johnson, et. al details a survey regarding attitudes on HIT outsourcing at these rural hospitals as a solution to these barriers of HIT implementation. This survey is based off a paper by Reddy, et. al proposing a model of hospital-to-hospital partnerships where rural hospitals partner with a larger hospital for HIT resources.

Current Barriers to HIT Adoption

  • 72% believed there is lack of acceptance from end-users
  • 68% believed there was not well-trained IT staff
  • 62% cited privacy concerns
  • 62% were concerned about loss of productivity during the transition
  • 60% were concerned about data security
  • 60% believed it was difficult to qualify for financial IT benefits
  • 53% cited concerns for lack of interoperability
  • 15% cited lack of management support
  • 27% cited difficulty finding the right software for their needs [1]

Previous Studies

Study published by Reddy, et. al in 2008Cite error: Closing </ref> missing for <ref> tag

References

  1. Johnson N, Murphy A, McNeese N, Reddy M, Purao S. "A Survey of Rural Hospitals' Perspectives on Health Information Technology Outsourcing" AMIA Annu Symp Proc. 2013:732-41, 2013.