Facing business-it-alignment in healthcare

Abstract

The ongoing reform efforts and an aftermath of increasing regulation in the Swiss healthcare sector make it imperative for hospitals to develop strategies to work more efficiently and have better control over their medical, nursing, and administrative processes. These endeavors make hospitals to enhance and integrate concepts of Business-IT-Alignment and IT Governance, IT Risk management, and IT Compliance (IT GRC). This paper proposes a novel method for the management of IT with respect to closely-meshed organizational and social structures within hospitals. One key contribution of this method is its hybrid approach to combine collective know-how of the CObIT 5 framework with an iterative process model approach. The application of this method under real-world conditions within different Swiss hospitals has led to a positive outcome whereby all hospitals concurred that the method allows for the adoption of IT GRC principles while taking into consideration the individual styles and patterns of behavior.