Information Technology Issues in Healthcare: Hospital CEO and CIO Perspectives

Healthcare Information Technology (HIT) is widely regarded as a key to improving the quality of healthcare in the United States and potentially reducing its cost. Yet, its implementation is a continuous challenge for the healthcare industry. In this article, we report the results of a survey distributed to CEOs and CIOs at 1400 U.S. hospitals regarding their perceptions of the key information technology (IT) issues in healthcare. Among the top ten issues, the implementation of electronic medical records is ranked the highest. Included in the top ten are issues related to: improving healthcare quality by the use of information technology; change management, privacy, security, and accuracy of electronic records; and decision support applications. While some differences existed, we found much similarity between the views of the CEOs and the CIOs with both groups being characterized as conservative and risk-averse in their entrepreneurial orientation. No major differences were observed between urban and rural hospitals, or large and small hospitals. Given the heightened interest in healthcare IT, these results have wide implications for many stakeholders in this burgeoning industry.