Information Systems and Technologies Maturity Models for Healthcare: A Systematic Literature Review

  • João Vidal CarvalhoEmail author
  • Álvaro Rocha
  • António Abreu
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 445)


The maturity models are instruments to facilitate organizational management, including the management of its information systems function. These instruments are used also in hospitals. The objective of this article is to identify and compare the maturity models for management of information systems and technologies (IST) in healthcare. For each maturity model, it is described the methodology of development and validation, as well as the scope, stages and their characteristics by dimensions or influence factors. This study resulted in the need to develop a maturity model based on a holistic approach. It will include a comprehensive set of influencing factors to reach all areas and subsystems of health care organizations.


Stages of growth Maturity models Hospital information systems 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Freixo, J. and Á. Rocha, Arquitetura de Informação de Suporte à Gestão da Qualidade em Unidades Hospitalares. . RISTI - Revista Ibérica de Sistemas e Tecnologias de Informação 2014. 14: p. 1-18.Google Scholar
  2. 2.
    Sharma, B., Electronic Healthcare Maturity Model (eHMM). Quintegra Solutions Limited, 2008.Google Scholar
  3. 3.
    Rocha, Á., Evolution of Information Systems and Technologies Maturity in Healthcare. International Journal of Healthcare Information Systems and Informatics, 2011. 6(2): p. 28-36.Google Scholar
  4. 4.
    Carvalho, J.V., A. Rocha, and J.B. Vasconcelos, Towards an encompassing Maturity Model for the Management of Hospital Information Systems. Journal of Medical Systems, 2015. 39(9): p. 1-9.Google Scholar
  5. 5.
    Rocha, Á. and J. Vasconcelos, Os Modelos de Maturidade na Gestão de Sistemas de Informação. Revista da Faculdade de Ciência e Tecnologia da Universidade Fernando Pessoa., 2004. 1: p. 93-107.Google Scholar
  6. 6.
    Mutafelija, B. and H. Stromberg, Systematic process improvement using ISO 9001:2000 and CMMI. Boston: Artech House, 2003.Google Scholar
  7. 7.
    Webster, J. and R.T. Watson, Analyzing the Past to Prepare for the Future: Writing a Literature Review. MIS Quarterly, 2002. 26(2): p. 13-23.Google Scholar
  8. 8.
    Tranfield, D., D. D., and P. Smart, Towards a Methodology for De-veloping Evidence-Informed Management Knowledge by Means of Systematic Review. British Journal of Management, 2003. 14: p. 207-222.Google Scholar
  9. 9.
    Mettler, T. and A. Blondiau, HCMM – A Maturity Model for Measuring and Assessing the Quality of Cooperation between and within Hospitals. 25th IEEE International Symposium on Computer-Based Medical Systems (CBMS), 2012.Google Scholar
  10. 10.
    Holland, M., L. Dunbrack, and S. Piai, Healthcare IT Maturity Model: Western European Hospitals - The Leading Countries. European IT Opportunity: Healthcare Healthcare Provider IT Strategies Health Industry Insights, an IDC Company, 2008.Google Scholar
  11. 11.
    Dunbrack, L. and L. Hand, A Maturity Model for Mobile in Healthcare. IDC Health Insights: Business Strategy, 2013. Doc # HI241777.Google Scholar
  12. 12.
    HIMSS, The EMR Adoption Model. HIMSS Analytics: Innovative Research / Informed Decisions, 2008.Google Scholar
  13. 13.
    Garets, D. and M. Davis, Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference. A HIMSS AnalyticsTM White Paper, 2006.Google Scholar
  14. 14.
    Etin, D., Quality of Care with IDC & HIMSS models - Where are eHealth projects going in EMEA? EMC Spark. Available: quality-care-idc-himss-models-ehealth-projects-going-emea/. [Accessed 28 Sep 2015]. 2014.
  15. 15.
    Priestman, W., ICT Strategy 2007-2011 for The Royal Liverpool and Broadgreen University Hospitals NHS Trust. Trust Board Meeting 6th November 2007. , 2007. Document Number: V1.4.Google Scholar
  16. 16.
    Clair, C.L., Electronic Medical Records Need More To Support “Meaningful Use”. Forrester Research Inc, 2010.Google Scholar
  17. 17.
    NEHTA, Interoperability Maturity Model: Version 2.0. National E-Health Transition Authority Ltd, 2007.Google Scholar
  18. 18.
    NHS, National Infrastructure Maturity Model [Online]. Available: [Accessed 16 Sep 2015]. 2011.
  19. 19.
    Sanders, D., D.A. Burton, and D. Protti, The Healthcare Analytics Adoption Model: A Framework and Roadmap. HealthCatalyst, 2013.Google Scholar
  20. 20.
    Sanders, D., A Model for Measuring Industry-Wide Adoption and Capability of Healthcare Analytics and Data Warehousing in the USA ElectronicHealthcare, 2012. 11(2).Google Scholar
  21. 21.
    Wetering, R. and R. Batenburg, A PACS maturity model: A systematic meta-analytic review on maturation and evolvability of PACS in the hospital enterprise. International Journal of Medical Informatics, 2009. 78: p. 127-140.Google Scholar
  22. 22.
    Wetering, R. and R. Batenburg, Towards a Theory of PACS Deployment: An Integrative PACS Maturity Framework. Society for Imaging Informatics in Medicine, 2014.Google Scholar
  23. 23.
    van Dick, L. and C.S.L. Schutte, The Telemedicine Service Maturity Model: A Framework for the Measurement and Improvement of Telemedicine Services. INTECH: open science/open minds, 2013. Chapter 10: p. 217-238.Google Scholar
  24. 24.
    Staggers, N. and M. Rodney, Promoting Usability in Organizations with a New Health Usability Model: Implications for Nursing Informatics. NI 2012: Proceedings of the 11th International Congress on Nursing Informatics, 396, 2012.Google Scholar
  25. 25.
    HIMSS, Promoting Usability in Health Organizations: Initial Steps and Progress Toward a Healthcare Usability Maturity Model. Healthcare Information and Management Systems Society, 2011.Google Scholar
  26. 26.
    Nielsen, J., Corporate Usability Maturity Stages: 1-4 and 5-8. 2006.Google Scholar
  27. 27.
    Earthy, J., Usability Maturity Model: Human-Centredness Scale. IE2016 INUSE Deliverable D5.1.4s, 1998.Google Scholar
  28. 28.
    Schaffer, E., Instituionalization of Usability: A Step-By-Step Guide. . Boston: Addison-Wesley, 2004.Google Scholar
  29. 29.
    Becker, J., et al., Maturity Models in IS Research. 18th European Conference on Information Systems, 2010.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • João Vidal Carvalho
    • 1
    Email author
  • Álvaro Rocha
    • 2
  • António Abreu
    • 1
  1. 1.Instituto Politécnico do Porto/ISCAPS. Mamede de InfestaPortugal
  2. 2.Departamento de Engenharia InformáticaUniversidade de CoimbraCoimbraPortugal

Personalised recommendations