Harkness Project Title:
Facilitators and Barriers to Information Technology Implementation and Its Effects on Clinical Care Design
Mentor: Thomas Rundall, Ph.D.
Placement: University of California, Berkeley
Biography at time of Harkness Fellowship: J. Timothy Scott, a 2002–03 Commonwealth Fund Harkness Fellow in Health Care Policy, is also a research fellow in the Department of Health Sciences at the University of York and a visiting scholar in the Division of Health Policy and Management at the University of California, Berkeley. His research interests include organizational analysis, behavior and symbolism, and strategic change, and quality improvement in health care. Scott previously worked in the NHS Centre for Reviews and Dissemination at the University of York, and in the Centre for Health Services Studies at the University of Warwick. His previous awards include the Sir Clifford Rose Award and a Ph.D. scholarship from the University of Hull. He has received research grants from Cancer and Leukaemia in Childhood, the British Heart Foundation, and the University of York.
Project: Scott conducted an exploratory study on implementing a health information technology (HIT) system at Kaiser Permanente’s Hawaii region. It sought to uncover lessons regarding implementation, including the perspectives of clinical users and any unanticipated consequences. He conducted interviews with national and regional HIT managers, regional clinical leaders and quality managers, and clinicians at the practice level.
Career Activity Since Fellowship
Current Position: Senior Lecturer in Organisation, University of St. Andrews. (Updated 1/2014)
Scott, T. Organization Philosophy: Gehlen, Foucault, Deleuze. MacMillan, 2010.
Scott, T., Rundall, T., Vogt, T. Hsu, J. Implementing an Electronic Medical System: Sucesses, failures, lessons. Radcliffe Publishing, 2007.
Jha AK, Doolan D, Grandt D, Scott T, Bates DW. “The use of health information technology in seven nations.” International Journal of Medical Informatics, December 2008; 77(12): 848-854.
Scott JT, Rundall TG, Vogt T, Hsu J. (2007) Implementing an Electronic Medical Record: Successes, failures, lessons. Oxford: Radcliffe.
( Øvretveit J, Scott T, Rundall TG, Shortell S, Brommels M, "Implementation of Electronic Medical Records in Hospitals: Two Case Studies," Health Policy 2007; 84(2): 181-190.
Øvretveit J, Scott T, Rundall TG, Shortell S, Brommels M. "Improving Quality Through Effective Implementation of Information Technology in Healthcare," Int. Journal for Quality in Health Care 2007; 19(5): 259-266.
Scott TJ, Rundall TG, vogt TM, Hsu J. “Kaiser Permanente’s Experience of Implementing an Electronic Medical Record: A Quantitative Study,” British Medical Journal 2005; 331: 1313–1316
Scott, T, Mannion R, Davies H, Marshall M (eds). Healthcare Performance and Organisational Structure, Radcliffe Medical Press, Ltd, 2003.
Scott T, Mannion R, Davies H, and Marshall M. “Does Organisational Culture Influence Health Care Performance? A Review of the Evidence,” Journal of Health Services Research and Policy 2003; 8(2):105-117.
Scott T, Mannion R, Davies H, and Marshall M. “Implementing Culture Change in Health Care: Theory and Practice,” International Journal of Quality in Health Care 2003; 15(2):111-118