Best of Breed versus Monolithic Systems The model for best of breed health care information systems involves the department- or specialty-specific selection (from among multiple vendors) and implementation of an optimized system that is the "best" option (that is, the most functionally ideal) for that particular department or process or type of dataand for which the system has been specially designed. Conversely, the model for monolithic health care information systems entails the organizationally holistic selection and implementation of an integrated group of department- or specialty-specific systems from a single vendor that have been designed with an emphasis on intra-organizational system interoperability and homogenous functionality. What do you consider to be the greatest advantage of the best of breed (multiple vendor) approach to health care information systems? Why? What do you consider to be the greatest advantage of the monolithic (single vendor) approach to health care information systems? Why? If given the choice as a hypothetical user within a specific setting/context in a large health care organization (e.g., an emergency room physician, a nurse manager, a billing clerk), would you prefer to work with best of breed systems from various vendors or with a monolithic system from a single vendor? In your response, be sure to identify the hypothetical user role in which you would be functioning and to support your reasoning using specific examples that reflect the setting/context in which you would be working with the chosen system. Reading materials: Video: Laureate Education (Producer). (2009). Introduction to health informatics: Clinical and administrative systems [Video file]. Retrieved from https://class.waldenu.edu

Course Text:Handbook of Informatics for Nurses and Healthcare Professionals

Chapter 6, "Healthcare Information Systems" (Read pp. 114118, through "Monitoring Systems," and pp. 120129, from "Laboratory Systems" through "Contract Management Systems.")

Article: Rogoski, R. R. (2006). Counting on efficiency. Health Management Technology, 27(3), 1014. Retrieved from http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2009332856&site=ehost-live&scope=site

Article: Spooner, W. (2002). Order in chaos: Transforming best of breed solutions into integrated solutions. Health Management Technology, 23(10), 283 1. Retrieved from http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=12380203&site=ehost-live&scope=site