01846nam a22002417a 4500 D0001E000162 DOH 20201113094239.0 201113b ||||| |||| 00| 0 eng d Towards sustainability of health information systems : how can we define, measure and achieve it? / Sebastian Garde [and six others] Health information systems (HIS) in their current form are rarely sustainable. In order to sustain our health information systems and with it our health systems, we need to focus on defining and maintaining sustainable Health Information System building blocks or components. These components need to be easily updatable when clinical knowledge (or anything else) changes, easily adaptable when business requirements or processes change, and easily exchangeable when technology advances. One major prerequisite for this is that we need to be able to define and measure sustainability, so that it can become one of the major business drivers in HIS development. Therefore, this paper analyses general definitions and indicators for sustainability, and analyses their applicability to HIS. We find that general 'Emergy analysis' is one possibility to measure sustainability for HIS. Based on this, we investigate major enablers and inhibitors to sustainability in a highlevel framework consisting of four pillars: clinical, technical, socio-technical, and political/business. In: Stud Health Technol Inform, 2007 vol. 129 (Pt 2) pages 1179-83. Information Systems trends Medical Records Systems, Computerized Garde, Sebastian Hullin, Carola M Chen, Rong Schuler, Thilo Gränz, Jana Knaup, Petra Hovenga, Evelyn J S JA 1735 1735 0 0 0 0 DOHCL DOHCL ElectronicRes 2020-11-13 0 E000162 D0001E000162 2020-11-13 00:00:00 2020-11-13 JA