Have Maryland local health departments effectively put in place the information technology relevant to emergency preparedness?

Authors

  • Jonas Nguh, PhD, MSN, MHSA, RN

DOI:

https://doi.org/10.5055/jem.2013.0129

Keywords:

public health preparedness, emergency management, local health departments

Abstract

Ever since the terrorist attacks of 9/11, the federal government has increased funding for emergency preparedness. However, the literature continues to document several areas of weaknesses in public health emergency management by local health departments (LHD). This lack of preparedness affects the entire public. The purpose of this study was to determine whether or not Maryland LHDs have effectively put in place the information technology (IT) that is relevant for emergency preparedness. Base Firm-wide IT Infrastructure Services and the Feeny/Willcocks Framework for Core IS Capabilities are the two conceptual frameworks used in this study. This qualitative study used the survey method and the data were analyzed through content analysis. The results revealed that utilization, practice, and performance of IT by Maryland LHDs are not efficient or effective. Recommendations included the development of “best practices,” increased funding for IT infrastructure and the establishment of strategic management framework for IT initiatives. Implications for positive social change include the development of recommendations to enhance emergency preparedness practice, and advancement of knowledge so as to facilitate the functions, and duties of health departments in emergency preparedness operations.

Author Biography

Jonas Nguh, PhD, MSN, MHSA, RN

University of the District of Columbia, Washington, District of Columbia.

References

Callahan D: False Hopes in America:Why the American Quest for the Ideal and Perfect Health is a Failure Recipe. New York: Simon and Schuster, 1998.

US Department of Homeland Security: National Response Plan. Washington, DC: Author, 2004.

National Association of County and City Health Officials: Information technology and local health departments. Paper presented at the Annual Conference, Dearborn, MI, July 1999.

National Association of County and City Health Officials: Federal Funding for Public Health Emergency Preparedness: Implications and Ongoing Issues for Local Health Departments. National Association of County and City Health Officials:Washington, DC, 2007.

National Association of County and City Health Officials: Local Public Health Agencies Better Equipped to Handle Bioterrorist Attacks. NACCHO Research Brief, No. 8, January 2003.

Trembly AC: Current technology is inadequate for bioterrorism response. Natl Underwriter. 2002; 106(44): 4-5.

Grimson J: Delivering the electronic healthcare record for the 21st centaury. Int J Med Inform. 2001; 64(2-3): 111-127.

Gates A: September 11, The Buildings Sudden Rise from the Rubbles and the Crumble of Health Status, Maryland and US’s story. N.Y. Times. 2006. Available at http://www.nytimes.com/2006/09/11/arts/television/11dust.html. Accessed March 2, 2011.

Gebbie K, Hwang HI: Preparing the Currently Employed Public Health, Professionals for the Changes in the Health Care System. NY: Columbia University-School of Nursing, 1998.

Rauf Z: Local centers for public health preparedness: Models for strengthening public health capacity. Year Two Report. Washington, DC: National Association of City and County Health Officers, 2001.

Government Accountability Office: Information Technology: Federal Agencies Face Challenges in Implementing Initiatives to Improve Public Health Infrastructure [GAO-05-308]. Washington, DC: Author, 2005.

Swayne LE, Duncan WJ, Ginter PM: Strategic Management of Health Care Organizations. Malden, MA: Blackwell Publishing, 2006.

Morroni M: Corporate Governance, Organization and the Firm: Co-operation and Outsourcing in the Global Economy (New Perspectives on the Modern Corporation). London: Edward Elgar Publishing, 2009.

Adler PS, McDonald DW, McDonald F: Strategic management of technical functions. Sloan Manage Rev. 1992; 33(2): 19-37.

Bell D: The Coming of the Post-Industrial Society: A Venture in Social Forecasting. New York: Basic Books, 1999.

Benamati J, Lederer AL: Rapid information technology change, coping mechanisms, and the emerging technologies group. J Manag Inf Syst. 2001; 17(4): 183-202.

Chan JO: Enterprise information systems strategy and planning. J Am Acad Bus. 2005; 2: 148-153.

Abendshien J: Managing the future. Health Forum J. 2001; 44(1): 26-28.

McNabb SJN, Koo D, Pinner R, et al.: Informatics and public health at CDC. Morb Mortal Wkly Rep. 2006; 55(Sup02): 25-28.

Feeny D, Olson KN, Willcocks PL: Governance of IT outsourcing: Implementation challenges. Paper presented at the Proceedings of the Leadership and Governance of IT Conference, Reading, Britain, 2010.

Broadbent M, Weill P, St Clair D: The implications of information technology infrastructure for business process redesign. MIS Q. 1999; 23(2): 159-183.

Misra BR: Global IT business and health outsourcing: The metrics for the success of all stakeholders. Inform Technol J Cases Applicability. 2004; 6(4): 12-35.

Willcocks L, Feeny D, Olson N: Implementing core IS capabilities: Feeny-Willcocks IT governance and management framework revisited. Eur Manag J. 2006; 24(1): 28-37.

Van-Bon J, Verheijen T: The Frameworks for the IT Manager. San Antonio, TX: Van Haren Publishers, 2006.

Trust for America’s Health: Ready or not? Protecting the public’s health from diseases, disasters and bioterrorism. Robert Wood Johnson Foundation, 2007. Available at http://www.rwjf.org/publichealth/product.jsp?id=36388. Accessed March 13, 2011.

National Association of County and City Health Officials: 2005 National Profile of Local Health Departments. Washington, DC, July 2006.

Patton MQ: Qualitative Evaluation and Research Methods. California: Sage Publications, 2002.

Brink PJ,Wood MJ: Basic Steps in Planning Nursing Research: From Question to Proposal. London: Jones and Bartlett Publishers, 2001.

Downe-Wamboldt B: Content analysis: Method, applications and issues. Health Care Women Int. 1992; 13(3): 313-321.

Glaser B: Theoretical sensitivity: Advances in the methodology of grounded theory. Mill Valley, CA: Sociology Press, 1978.

Morse JM, Field PA: Qualitative research methods for health professionals. California: Sage Publications, 1995.

Published

02/16/2017

How to Cite

Nguh, PhD, MSN, MHSA, RN, J. “Have Maryland Local Health Departments Effectively Put in Place the Information Technology Relevant to Emergency Preparedness?”. Journal of Emergency Management, vol. 11, no. 1, Feb. 2017, pp. 73-91, doi:10.5055/jem.2013.0129.