I have previously written a post about benefit management of IT
projects in the health sector. One area that traditionally have not had the
great attention when large and small IT projects ended and went into operation
in the hospitals I've worked on. From an economic point of view, among other
things, this is not appropriate because the business case that was the basis
for the project will never be realized, and thus it is unclear whether the
project actually creates the benefit or the value that you expect.
In addition you misses the learning of the work done with the business
cases as estimates and project plans are never evaluated and assessed by
practice.
They are, in other words, theoretical goals that never gets a working life or
a conclusion.
Benefit management does not happen because, as described above, occurs
because you do not evaluate, assess or analysis the of projects. Therefore
there will be no evidence of a technology in a particular area or
speciality, at a particular group of patients with a particular skill group
(s), etc. ., Does the technology create the value, change or effect that you anticipate?
You just don’t know…
Here I am not talking about the IT-related effect. No it is the clinical
effect that is interesting in this context.
What does the technology to patient care, quality, organization,
management, waiting time, patient satisfaction, processes, treatments? and so
on. To put it bluntly, we just don’t know.
In a health care system that so much is evidence-based, and where
research goes hand in hand with the daily clinic, it's scary that there is so
little research and evaluation of the technologies we are introducing.
That brings me to my real point. I have very peripherally involved myself
in the work on the establishment of a Centre for innovative medical technologies(CIMT). This centre will focus research on the impact innovative technologies
have on the clinical area.
The centre is a virtual construction between University Hospital and
University of Southern Denmark. As The ministry of science, Innovation and higher education write on the Department's website:
Today there are only a limited scientific evidence of efficacy and
effectiveness of innovative medical technologies. This fact is also recognized
by the European Commission as one of the possible explanations for the lack of
market penetration and large-scale implementation of telemedicine solutions.
This led in 2009 to the start of work on the establishment of a European
evaluation model and the subsequent establishment of large scale documentation
projects.
University Hospital has been a key player in this work and want to promote
the development, testing and implementation of innovative medical technologies,
and the evidence of the effects and consequences of these.
And CIMT writes: Center for Innovative Medical Technology - also known as CIMT - is a new research and innovation center for Odense University Hospital (University Hospital) and University of Southern Denmark (SDU). founding of CIMT formalize the existing cooperation between the two institutions and creates the basis for stronger collaboration through a strong common research focusing on the use of medical technology. CIMT should also ensure increased visibility of research and innovation efforts in Southern Denmark in Denmark and internationally.
I welcome this initiative. It is time to take digital solutions, innovative
technologies, IT and welfare technologies into the evidence-based course.
It is never too late and there will be room to make a difference, perhaps even
worldwide.
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