<p> In 2009 the American Recovery and Reinvestment Act (ARRA) was signed into law. As part of ARRA, the HITECH Act set aside $29 billion in Medicare and Medicaid incentives for healthcare organizations. To collect these incentives, healthcare organizations must install an electronic health record (EHR) system and achieve <i>meaningful use.</i> Implementation of an EHR must be completed by 2015 in order to acquire any of the incentives available. Small medical practices consisting of one to five physicians are finding it easier to implement a <i>cloud-based</i> EHR system due to minimal upfront costs and no need for technical capabilities within the medical practice. This study was done using a modified Delphi technique developed by Roy Schmidt to find critical success factors for the implementation of electronic health record systems within a centralized computing services structure. For purposes of this study a centralized computing services structure was considered a <i> cloud</i> or <i>cloud-based</i> environment. </p><p> This study found that the top five critical success factors for the implementation were the following: (1) EHR Training &ndash; implementing a strong training / education process for EHR users; (2) Usability &ndash; practical application of EHR features in a real medical office setting; (3) Reliability &ndash; Specifically high levels of redundancy and system availability. If the system is down, patient safety is a risk, and that is an unacceptable norm; (4) Strong clinical representation in the project to ensure workflows, processes and education needs are met; (5) Support services such as deployment / implementation services, help desk, and online support. Of these five factors, four are actually related to usability of the system, and not necessarily strictly based on implementation. This leads us to believe that the success of an implementation is reliant upon user perception based on system usage.</p>

The proposal for a prototype of an Informatorium was developed following the observation that new media and communications technologies were advancing with increasing speed and that only comparably few people were able to understand and use the full range of possibilities offered.In contrast to a library that offers a passive supply for a preexisting demand for knowledge the program of the Informatorium includes implements for the active creation of demand for knowledge. Furthermore it is an accessible storage space for any kind of medium for human knowledge. In making new technologies for the procurement of knowledge and the expression of thought accesible, in enabling people to access any kind of information all over the globe through data links the Informatorium acts as a communicative Interface between cultures. Guided by the understanding that knowledge, and the knowledge to acquire new knowledge mean power, the Informatorium is an implement for empowerment.Communication and the procurement of knowledge and information are more and more dependent on technology. In fact, the most pervading of today's technologies are related to the production and distribution, reception and processing of information. The importance of information technology today and its contribution to Our conception of what we think the world is, can hardly be overemphasized, for it represents the universal filter through which we communicate any kind of idea.The questions investigated by this project are therefore focussed on the aspects of technology, the machine, knowledge and power; their interdepencies and their relation with man; and, ultimately, how architecture can be a mediator between these phenomena.Since prototype 001 for an Informatorium is conceived of as an architectural meta-machine, the investigation of the aforementioned issues within the thesis book takes place in the framework of an instruction manual. / Department of Architecture

Thesis ( Ph.D)--University of Tasmania, 2003. / Accompanying CD in pocket inside back cover. Includes bibliographical references.

Thesis (M.M.S.)--University of Waikato, 2007. / Title from PDF cover (viewed April 18, 2008) Includes bibliographical references (p. 100-105)

Thesis (MPhil)--University of Stellenbosch, 2007. / Bibliography. Also available via the Internet.

Thesis (M.Arch.) - Carleton University, 2003. / Includes bibliographical references (p. 105-107). Also available in electronic format on the Internet.

Techn. University, Diss.--München, 2007. / Includes bibliographical references (p. [179]-194).

Thesis (Ph. D.)--University of Canterbury, 2008. / Typescript (photocopy). Includes bibliographical references (leaves 358-368). Also available via the World Wide Web.

Thesis (Ph.D.)--Hong Kong Baptist University, 2006. / Adviser: Siu Cheung Sandy Li. Includes bibliographical references.

Thesis (doctoral)--Albert-Ludwigs-Universität Freiburg im Breisgau. / Includes bibliographical references (p. 132-138).