Application deadline

Singular Course Admission deadlines:

Applications from Nordic countries: 1 June for the Autumn Semester.

Applicants from outside the Nordic countries: 15 April for the Autumn Semester

Type of course

Theoretical and practical.

The course can be taken as a singular course as long as the admission requirements for the Master Programme are satisfied.

Admission requirements

Bachelor Degree in Health related disciplines.

Code: 9371 (Singular Course ¿ Master)

Course content

The course is a central part of the Master's Programme and introduces the students to EPR design, implementation and use.

The course will cover the following topics:

1) Challenges of designing, implementing and using EPR.

2) Implementation strategies.

3) Socio-technical integration.

4) Standardisation of technology, routines and practices.

5) Classification systems.

6) Collaboration between different practices.

7) Innovations related to EPRs.

8) Infrastructural challenges in developing countries.

Objectives of the course

Learning Outcomes:

Following the course, the students should be able to:

1) Identify challenges of designing, implementing and using EPR.

2) Critically assess various implementation strategies.

3) Understand the relevance of socio-technical integration.

4) Apply working strategies for standardisation of technology, routines and practices.

5) Establish strategies for using classification systems.

6) Design collaboration methods between different practices.

7) Understand the crucial elements in technical innovations related to EPRs.

8) Identify and deal with infrastructural challenges in developing countries.

Language of instruction and examination

Teaching methods

Assessment

2-weeks' take-home examination based on a specific assignment.

Norwegian grading system: A-E, with F as fail.

There will not be arranged a re-sit exam for this course.

Recommended reading/syllabus

Books:

Bowker and Star: Sorting things out.
Sellen, A. and Harper RHR (2002): The myth of the paperless office. MIT press
Papers

Articles:

Bansler, J. (1989): Systems development research in Scandinavia: three theoretical schools, Scandinavian Journal of Information Systems, Vol. 1, Nr. 9, pp: 3 ¿ 20.

Berg, M. (1999): Patient care information systems and health care work: a sociotechnical approach International Journal of Medical Informatics 55, 87¿101.

Berg, M. and Goorman, E. (1999): The contextual nature of medical information, International Journal of Medical Informatics, vol. 56, pp. 51-60.

Berg  and Toussaint (2003): The mantra of modeling and the forgotten powers of paper

Bowker, G. and Star, S.L. (1999): Intro. and chapter 1 in Sorting things out: 1 (pp. 1-51)

Bowker, G., S. Timmermans and S. L. Star. 1995. Infrastructure and organizational transformation: classifying nurses¿ work. In W. Orlikowski, G. Walsham, M.R. Jones, and J.I.

Braa and Hedberg (2002): The Struggle for District-Based HIS in South Africa

Chilundo and Aanestad (2004): Negotiating multiple rationalities

Star, S.L. and Ruhleder, K. (1995): Steps toward an Ecology of Infrastructure

DeGross. eds, Information technology and changes in organizational work. pp 344 ¿ 370. Chapman & Hall

Ellingsen, G. and Munkvold, G. (2007): Infrastructural arrangement for integrated care ¿ implementing an electronic nursing plan in a psychogeriatric ward, International Journal of Integrated Care, Vol, 7, 16 May 2007, pp. 1-11.

Ellingsen, G. and Monteiro, E. (2005): The slight surprise of integration. In Sørensen, C., Yoo, Y., Lyytinen, K. and DeGross, J.I. (eds.): IFIP WG 8.2, Designing Ubiquitous Information Environments: Socio-Technical Issues and Challenges. Springer, pp. 261-274.

Ellingsen, Monteiro and Munkvold: Information Society.

Ellingsen, G. and Monteiro, E. (2008): The organizing vision of integrated health information systems, Health Informatics Journal

Ellingsen, G. and Monteiro, E. (2005): The slight surprise of integration. In Sørensen, C., Yoo, Y., Lyytinen, K. and DeGross, J.I. (eds.): IFIP WG 8.2, Designing Ubiquitous Information Environments: Socio-Technical Issues and Challenges. Springer, pp. 261-274.

Ellingsen, G. and Monteiro, E. (2003): Big is beautiful. Electronic Patient Records in Large hospitals 1980s ¿ 2001.

Garcia, A.C. and David G.C. (2010): Understanding the work of medical transcriptionists in the production of medical records. Health Informatics Journal.

Gasser, L. (1986): The integration of computing and routine work. ACM Trans. on Office Information Systems, vol. 4, no. 3, pp. 205-225.

Gladwell, M. (2002): The social life of paper. Looking for method in the mess. The New Yorker.

Grimson, J.,W. Grimson and W. Hasselbring (2000): The SI Challenge in Health Care. Communications of the ACM, vol. 43, pp. 48¿55.

Grudin, J. (1989): Why groupware applications fail: Problems in design and evaluation. Office: Technology and People, 4(3): 245-264

Hammer, M. (1990): Reengineering Work: Don¿t Automate, Obliterate, Harvard Business Review.

Hanseth and Monteiro (1998): Understanding Information Infrastructure (chapter 3)

Hardstone et al. (2004): Supporting Informality:  Team Working and Integrated Care Records

Hasselbring, W (2000): Information system integration. Communications of the ACM, vol. 43, no. 6, pp. 32-38.

Hirschheim (1989): "User Participation in Practice: Experiences with Participative Systems Design", in Participation in Systems Design, K. Knight, (ed.), Kogan Page Publishers, London, May, pp.194-204.

Johannessen, L.K. and Ellingsen, G. (2008): Lightweight methods in heavyweight organisations, In proceedings of the Participatory Design Conference, Bloomington, Indiana, USA

Johansen, M.A., Scholl, J., Hasvold, P. Ellingsen, G. and Bellika, J.G. (2008) Garbage In, Garbage Out" - extracting disease surveillance data from EPR systems in primary care. In Proceedings of the ACM 2008 conference on CSCW, pp. 525-534, San Diego, CA, USA

Kimaro (2005): Analyzing the Problem of Unsustainable Health Information Systems in in Less-Developed Economies

Latour, B. (1991): Technology is society made durable. In John Law (Ed.) A Sociology of Monsters: Essays on Power, Technology, and Domination (London: Routledge) pp. 103-131.

Monteiro, E., 2000. Actor-Network Theory and Information Infrastructure. In: Ciborra, C.U., Associates (Eds.), From Control to Drift: The Dynamics of Corporate Information Infrastructures, Oxford University Press, Oxford, 71-83.

Nicolini, D. (2006): The work to make telemedicine work: A social and articulative view, Social Science & Medicine 62, pp. 2754¿2767.

Nygren, E. and Henriksson, P. (1992): Reading the medical record. I. Analysis of physicians' ways of reading the medical record, Computer Methods and Programs in Biomedicine, 39 (1992) 1-12

Orlikowski, W.J. (1992): Learning from Notes: organizational issues in groupware implementation. In CSCW '92, pp. 362-369.

Pedersen, P. et al. (2010): Standardized Nursing Work: Works in Practice but not in Theory?

Perrow, C. (1984): Complexity, coupling and catastrophe, Chapter. 3 Normal accidents, Princeton Univ. Press, 1984, pp. 62-100

Rector, A. (1999): Clinical Terminology: Why is it so hard? Methods of Information in Medicine 38(4):239-252.

Sahay S, Monteiro, E, Aanestad, M. (2009). Configurable politics and asymmetric integration: Health eInfrastructures in India. Journal of the AIS

Sellen and Harper (1997): Paper as an analytic resource for the design of new technologies.

Star, S.L. and Ruhleder, K. (1995): Steps toward an Ecology of Infrastructure: Design and Access for Large Information Spaces, Information Systems Research

Vikkelsø, Signe (2005): Subtle Redistribution of Work, Attention and Risks: Electronic Patient Records and Organisational Consequences, Scandinavian Journal of Information Systems, 2005, 17(1):3¿30

Wagner, I. (1993): A web of fuzzy problems: confronting the ethical issues. Communications of the ACM, vol 36, no. 4

Walsham, G. (1997) Actor-network theory and IS research: current status and future prospects, In Proc. IFIP WG 8.2 , Philidelphia, USA, pp. 467-480

Aanestad, M. and Hanseth O. (2000): Implementing Open Network Technologies in Complex Work Practices: A case from telemedicine. In: Baskerville, Stage, and DeGross (eds.): Organizational and Social Perspectives on Information Technologies, Kluwer Academic Publishers, Dordrecht, the Netherlands, 2000, pp. 355-369.

Additional material may be distributed during lectures.