Procurement of Health Information Systems; A review of current practice
Abstract: Managing changes in health outcomes depends upon using information and communication technology (ICT) effectively. The increasing life expectancy of the population and the increasing range of medical interventions and treatments available are putting pressure on current healthcare practices. Health Information Systems (HIS) are now needed at all levels of healthcare, from administration to supporting clinicians in decision making. The procurement of HIS becomes crucial to ensure the right system is purchased and implemented. Procurement itself is a well-established area with a long history and tradition going back centuries. In some jurisdictions, guidelines exist for government procurement for systems ranging from devices to ICT systems. The question arises whether the guidelines can be used effectively for HIS procurement, where other issues may come in to play regarding the choice and selection of systems. This paper reviews literature on the current state of procurement and examines the following five issues: (1) the definition of procurement and its phases, (2) how the procurement process is carried out in the United States, the European Union and Australia, (3) ICT procurement, and (4) HIS procurement.
Keywords: Procurement Health Information Systems ICT