Summary
Objectives:
To diagnose the hospital information systems’ situation in Portugal.
Methods:
Developing a survey on HIS department heads.
Results:
Several weaknesses were identified in most HIS departments, such as substantial lackof
people and of qualifications to deal with HIS challenges. The Nolan and McFarlan Matrix
helped assess the SNS IS maturity at stage 3, characterized by the generalized lackof
IS integration.
Conclusions:
The results are very relevant to explain the many delays (and conflicts) in implementing
HIS and therefore the actual status of HIS in Portugal. The most successful cases
of HIS implementation were recognized as related to the existence of an active CIO.
Complexity theory can further define guidelines for the development of HIS that help
keep the navigation towards “smart healthcare”.
Keywords
Hospital information systems - hospital information systems management - survey -
CIO - complexity