Translating e health visions from strategy to practice - a benefit management approach

Abstract

The municipalities and the Regional Health Authorities in Central Norway have been assigned a mandate to implement a shared electronic health record, Helseplattformen, reflecting the visions set out in the national eHealth white pa-per ‘One Citizen - One Record’. This study identifies and describe the anticipat-ed benefit streams of clinical decision support in ‘One Citizen - One Record’ and the user requirement specification documents of Helseplattformen¬. This study found that the benefit stream of clinical decision support translates from the health policy visions stated in ‘One Citizen - One Record’ into Helseplattformen. However, business changes, although a critical element of achieving benefits, were not emphasised in either. This calls for the programme of Helseplattformen to pay careful attention to how the information system and information technolo-gy requirements must be accompanied by enabling changes as well as business changes in order to achieve the identified benefits of ‘One Citizen - One Record’ and Helseplattformen