Analyzing Legacy Health Information Technology: Insights and Strategies from a US Indian Health Service HIT Study provides a detailed presentation of the unique and original methodology, findings, and products of a year-long analysis of the Indian Health Service health information technology system, including recommendations for its modernization. Included in the book are reproducible take-aways to guide and elevate HIT modernization efforts throughout other situations, including a site visit kit, a HIT capability maturity model, and a HIT roadmap.

The book discusses a comprehensive approach to modernization decision making: the development of a comprehensive qualitative, quantitative, and research-based platform to identify and evaluate approaches to modernization, with a reliance on human centered design processes. The evaluation of HIT modernization for the Indian Health Service included researchers, cutting-edge technology innovators, veterans of healthcare in Indian country, and icons of health IT leadership in the US brought together to help answer how to approach health IT modernization in the IHS. Frameworks developed, lessons learned, and alternative analyses applicable to multiple organizations are presented. In addition, the book provides three reproducible take-aways to guide and elevate a HIT modernization effort, including a site visit kit, a HIT capability maturity model, and a HIT roadmap.

This book is a valuable resource for researchers, policymakers, clinicians and healthcare workers involved in development, implementation and modernization of health information technology systems.

• Presents a comprehensive description of how an analysis of health information technology legacy system is conducted, with a detailed framework for the methodology and human centered design approach that can be used to support a HIT modernization effort
• Discusses the value of a human-centered research approach during the early phases (research portion) of the software development lifecycle and provides methods, tools, and recommendations for applying human centered design (HCD) in other health informatics projects
• Provides graphics presenting a comprehensive depiction of the American Indian/Alaska Native health inequities, social determinants, geographic obstacles, and health care underfunding, and how they compare to the US population, in order to make the content reproducible at other challenging environments