Examining Hospital Strategy in Relation to PACS Workflow Outcomes

With the increasing need to evaluate health spending comes a need for frameworks that capture the multiple goals of hospitals. There is a need to rethink the application of theoretical approaches to investigating IS in light of the objectives of medical practitioners using practical technologies. The Balanced Score Card (BSC) has been successfully applied to hospital environments, but not to Picture Archiving Communication Systems (PACS) which are among the most important e-health implementations in hospital environments in the past decade or more. Therefore, this research investigates if the BSC adequately captures the multiple strategic goals of a hospital-wide PACS implementation. We conclude that the BSC is not adequate to capture the key features that need to be evaluated. An expanded model, the PACS-BSC model is proposed as a much more appropriate tool for examining such systems. This expanded model is developed as a resource for both researchers and practitioners.