Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 1
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Jaana, Mirou Ward, Marcia M. and Bahensky, James A. 2012. EMRs and Clinical IS Implementation in Hospitals: A Statewide Survey. The Journal of Rural Health, Vol. 28, Issue. 1, p. 34.

  • International Journal of Technology Assessment in Health Care, Volume 25, Issue 1
  • January 2009, pp. 97-106

Information technology capacities assessment tool in hospitals: Instrument development and validation

  • Mirou Jaana (a1), Guy Paré (a2) and Claude Sicotte (a3)
  • DOI:
  • Published online: 01 January 2009

Objectives: This research integrates existing literature on information technology (IT) in hospitals, and proposes and validates a comprehensive IT capacities assessment tool in these settings.

Methods: A comprehensive literature review was conducted on Medline until September 2006 to identify studies that used specific IT measures in hospitals. The results were mapped and used as a basis for the development of the proposed instrument, which was tested through a survey of Canadian healthcare organizations (N = 221).

Results: A total of seventeen studies provided indicators of clinical and administrative IT capacities in hospitals. Based on the mapping of these indicators, a comprehensive IT capacities assessment instrument was developed including thirty-four items exploring computerized processes, thirteen items assessing contemporary technologies, and eleven items investigating internal and external information sharing. A time frame was inserted in the tool to reflect “plans for” versus “current” implementation of IT; in the latter, the extent of current use of computerized processes and technologies was measured on a (1–7) scale. Overall, the survey yielded a total of 106 responses (52.2 percent response rate), and the results demonstrated a good level of reliability and validity of the instrument.

Conclusions: This study unifies existing work in this area, and presents the psychometric properties of an IT capacities assessment tool in hospitals. By developing scores for capturing IT capacities in hospitals, it is possible to further address important research questions related to the determinants and impacts of IT sophistication in these settings.

Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.R Amarasingham , M Diener-West , M Weiner , et al. Clinical information technology capabilities in four U.S. hospitals: Testing a new structural performance measure. Med Care. 2006;44:216224.

3.MJ Ball . Hospital information systems: Perspectives on problems and prospects, 1979 and 2002. Int J Med Inform. 2003;69:8389.

4.DW Bates , AA Gawande . Improving safety with information technology. N Engl J Med. 2003;348:25262534.

5.RG Brooks , N Menachemi , D Burke , A Clawson . Patient safety-related information technology utilization in urban and rural hospitals. J Med Syst. 2005;29:103109.

6.SH Brown , MJ Lincoln , PJ Groen , RM Kolodner . VistA – U.S. Department of veterans affairs national-scale HIS. Int J Med Inform. 2003;69:135156.

8.D Burke , N Menachemi , RG Brooks . Diffusion of information technology supporting the Institute of Medicine's quality chasm care aims. J Healthc Qual. 2005;27:2432.

7.DE Burke , N Menachemi . Opening the black box: Measuring hospital information technology capability. Health Care Manage Rev. 2004;29:207217.

9.DE Burke , BBL Wang , TTH Wan , ML Diana . Exploring hospitals’ adoption of information technology. J Med Syst. 2002;26:349355.

11.B Chaudhry , J Wang , S Wu , et al. Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144:E12-E22.

12.GA Jr Churchill . A paradigm for developing better measures of marketing constructs. J Mark Res. 1979;16:6473.

13.SD Culler , A Atherly , S Walczak , et al. Urban-rural differences in the availability of hospital information technology applications: A survey of Georgia hospitals. J Rural Health. 2006;22:242247.

14.SD Culler , JN Hawley , V Naylor , KJ Rask . Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: Results from 66 Georgia hospitals. J Med Syst. 2007;31:319327.

15.D Goldberger , R Kremsdorf . Clinical information systems – Developing a systematic planning process. J Ambul Care Manage. 2001;24:6783.

20.M Jaana , MM Ward , G Paré , C Sicotte . Antecedents of clinical information technology sophistication in hospitals. Health Care Manage Rev. 2006;31:289299.

21.M Jaana , M Ward , G Paré , D Wakefield . Clinical information technology in hospitals: A comparison between the State of Iowa and two provinces in Canada. Int J Med Inform. 2005;74:719731.

22.N Menachemi , D Burke , RG Brooks . Adoption factors associated with patient safety-related information technology. J Healthc Qual. 2004;26:3944.

23.N Menachemi , D Burke , A Clawson , RG Brooks . Information technologies in Florida's rural hospitals: Does system affiliation matter? J Rural Health. 2005;21:263268.

26.G Paré , C Sicotte . Information technology sophistication in health care: An instrument validation study among Canadian hospitals. Int J Med Inform. 2001;63:205223.

27.EG Poon , AK Jha , M Christino , et al. Assessing the level of healthcare information technology adoption in the United States: A snapshot. BMC Med Inform Decis Mak. 2006;6:19.

29.MM Ward , M Jaana , JA Bahensky , S Vartak , DS Wakefield . Clinical information system availability and use in urban and rural hospitals. J Med Syst. 2006;30:429438.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
Please enter your name
Please enter a valid email address
Who would you like to send this to? *