Restoring clinical information system operations post data disaster: the role of IT investment, integration and interoperability

• Published in: Industrial management + data systems 2021-11, Vol.121 (12), p.2672-2696
• Main Authors: Shrivastava, Utkarsh, Hazarika, Bidyut, Rea, Alan
• Format: Article
• Language: English
• Subjects: Access to information; Data integrity; Data loss; Disaster recovery; Disaster studies; Disasters; Electronic health records; Emergency preparedness; Health care; Hospitals; Information communication; Information sharing; Information systems; Information technology; Interoperability; Pseudorandom; Ransomware; Restoration; Semantics; Supply chains; System theory
• ISSN: 0263-5577; 1758-5783
• DOI: 10.1108/IMDS-03-2021-0128

PurposeDelay in the clinical information system (CIS) restoration overseeing critical health-care operations after an unexpected data loss can be fatal for patients under care. Investment in information technology (IT) capabilities and synergy between various computerized systems has been argued as the resilient information system's enablers. The purpose of this study is to empirically quantify the influence of IT investment, integration and interoperability in recovering the CIS from a data disaster.Design/methodology/approachAn archival dataset sourced from a European Commission-sponsored survey of 773 hospitals across 30 countries in Europe is utilized to study the relationships. The study adopts a quasi-experimental research design approach where sample observations are weighted based on their propensity to be selected in treatment groups. The artificial weighing allows attaining a pseudo-random sample to counter the effects of selection bias.FindingsThe study finds that hospitals with more than 5% of the budget dedicated to IT have 100% higher odds of recovering immediately from a critical data loss in comparison to those that have less than 1% investment in IT. The greater extent of IT integration significantly reduces the time to recover the CIS, while interoperability problems at the organizational level lessen the odds of immediate recovery by 19%. Interoperability problems at the technical and semantic levels do not significantly impact recovery times of the CIS.Originality/valueThe study proposes several empirically quantified and scientifically tested recommendations for health-care providers for faster restoration of critical CIS operations post data loss. The differential impact of the interoperability problems at the technical, semantic and organizational levels has also been highlighted.