Driven Approaches to Healthcare Technology Implementation
Author: Richard Velez, PhD, MEd, MS, MHA
Abstract
The implementation of healthcare technology is increasingly influenced by multiple driving forces, each shaping the trajectory of innovation, adoption, and regulatory compliance. This paper categorizes these driving forces into eight primary approaches: data-driven, patient-centered, evidence-based, security-driven, cost-effective, interoperability-driven, regulator-driven, technology-driven, and AI/automation-driven. Through a critical analysis of these approaches, the paper explores how healthcare stakeholders—ranging from clinicians and patients to policymakers and developers—interact with and shape technology adoption. The provider-driven approach emphasizes the clinical integration of technologies such as Electronic Health Records (EHRs) and telehealth platforms to improve decision-making and patient care.
The consumer-driven model highlights patient empowerment through mobile health applications and wearable devices. Meanwhile, regulatory influences, including HIPAA, HITECH, and FDA frameworks, create a compliance-oriented landscape for implementation. Lastly, the advancement of artificial intelligence, automation, and predictive analytics presents a transformative force that challenges traditional paradigms of healthcare delivery. By synthesizing these perspectives, this paper provides a comprehensive framework for understanding the complex, interrelated dynamics of healthcare technology adoption. It also offers recommendations for policymakers, practitioners, and technologists aiming to foster innovation while maintaining ethical, secure, and patient-centered practices.
Introduction
Digital medicine, artificial Intelligence, and advanced information systems for healthcare management have demonstrated how far the field has progressed in transforming visionary concepts into a practical reality. With a strong background in implementing innovative strategies to support patient outcomes, I have focused on identifying return on investment and evaluating the effectiveness of cutting-edge technology in healthcare settings. My efforts have included the incorporation of robotic systems, the development of the Forwarded Logistics Plan, and the establishment of a new pharmacy vision, motto, and customer satisfaction goals that reshaped operational efficiency.
Further advancing healthcare innovation, I revolutionized the Offutt Air Force Base Pharmacies by launching the “Team Pharmacy 2000 Plan.” This comprehensive modernization included integrating two ScriptPro Automated Drug Dispensing Robots, a 12-line AudioCARE phone-in system, a Fillmaster Water Purification System, three logistics computer systems with barcoding capabilities, two Pyxis Medstations Dispensing Systems, and upgrading 120 Baker Medication Dispense Cells across two pharmacies. Additionally, I spearheaded the design and implementation of new floor plans to optimize pharmacy workflows and drive performance.
Change management has always been a crucial element in healthcare, and my early experiences reinforced the importance of mastering this skill. My first introduction to applying a driven and systematic approach to healthcare technology implementation came during my time at David Grant Medical Center, located at Travis Air Force Base in Fairfield, California. As the facility neared completion, I was entrusted with the task of researching and implementing a new admixture system to support an inpatient pharmacy serving over 200 inpatients.
Earlier, in 1990, my team and I implemented a strategic plan for transitioning the inpatient pharmacy from the old David Grant 150-bed hospital to the newly constructed 250-bed facility. We successfully increased the unit dose drug system from 50 to 100 percent without the addition of new manpower and instituted a central admixture service, saving the Medical Center over $300,000 through the use of an infusion syringe pump and an Add-A-Vial system. I also designed and integrated the Baxter Clintex Multitask Operating Software, Hardware, and the All-in-One Total Parenteral Nutrition (TPN) Program, formulating and inputting TPN protocols into the new system. Additionally, I created a computer-driven, on-the-job intravenous and chemotherapy admixtures training program for Doctor of Pharmacy students from the University of the Pacific.
These experiences mark the foundation of my journey in leveraging technology to improve healthcare delivery, streamline operations, and enhance patient satisfaction, laying the groundwork for continuous innovation in an evolving data-driven healthcare landscape.
Data-Driven Approach
Leveraging predictive analytics is very important to identify future trends and health issues when making sure that proactive inventions will implement the improvement of patient outcomes. The use of historical data is central to implementing key real-time health predictions that are in line with best practices and future outcomes. This idea is in using Electronic Health Records data sets which gives a predictability of patient outcomes. Analyzing this information allows the medical facility to draw information from insurance claims and patient Administration records (Cascini et al, 2021).
Patient-Centered Approach
Patient focused technology has been assisted and is now being led by artificial intelligence. The function of AI is to take in the information in revolutionizing Healthcare and supporting at the same time feedback information. AI-powered chatbots will inform parents with knowledge, recommendation, and assistance regarding multitude parenting difficulties and concerns. Together these new sources of gathering information have given hospitals the opportunity to streamline and tailor their responses so that the patients' needs are met where they're at and then in turn can immediately make adjustments for the benefit of the patient.
This technology movement has been occurring exponentially throughout many of the medical healthcare optimization planned approaches. Chat Boxes are becoming a new tool in helping patients realize the many offerings a hospital gives them. The AI chat box itself suggests pinpointing the individual patient's needs and wants. This in turn helps with the bottom line in using on-time quality improvement which increases return on investments (ROI) for medical facilities (Cleveland Clinic, 2024).
Patient-driven personalized medicine is to understand that the focus of Medicine is centralized on the care of the individual patient. In the use of technology and modern medicine, the goal is to interject a philosophy where the patient is an integral part of their health care. This idea enables the patient to become a centralized figure in the healthcare outcome. Both medical and ancillary staff must play a tremendous part in the centralized personalization of medicine. In using the new advanced technology protocols and inserting them into the patients healthcare plans the medical community must consider the wants and needs of the individual patient. In using this vision hospitals must become strong patient advocates. All medical professionals' assets must become symbiotic in instituting quality improvement. The whole facility must continually push towards one goal which is the ultimate care of an individual and their healthcare needs. When hospitals facilitate that ultimate goal and set standards in which every patient who walks through the door is treated as though they are the most important person in the building.
The centralized idea for the staff is to always be involved in quality improvement and education. Technology can be inserted to garner at the same time information from the patient's satisfaction of their stay in the facility. The Agency for Healthcare Research and Quality, 2020 stated that “implementing real-time feedback systems for patient satisfaction is critical (TAHRQ, 2020).” The hospital apparatus must engulf patients in a unified direction to Institute decision making which involves the patient's insights and using AI technology. One of the technologies under these guidelines can be the use of genetic testing and targeted therapies which improve precision medical approaches. Reynold 2009 reported that “the use of genetic testing had become increasingly common in personalized medicine. Hospitals use genetic data to tailor treatments for individuals, improving the efficacy of therapies while minimizing side effects (Reynolds, NIH, 2009).” The list below demonstrates just some of the advancements that are used in today's lending medical centers and facilities.
Telehealth: Utilizing telemedicine platforms and remote monitoring tools to improve access to care and reduce costs
Video conferencing, remote patient monitoring with wearables, and digital medical instruments
Wearable devices, such as fitness trackers and smartwatches, collect and transmit health data
Nanotechnology: Definition: Nanotechnology involves manipulating materials at the atomic and molecular level for medical applications.
Robotic surgery uses robotic systems to perform minimally invasive surgeries with enhanced precision and dexterity.
Evidence-Based Approach
The National Institute of Health (NIH) has responsibly taken the lead and understands the use of AI in evidence-based healthcare approaches. In this article, they've stated that AI can be useful and identifying patient trends and then developing goals
"In particular, this model makes use of a data-driven approach to improve patient outcomes and organizational efficiency by putting the patient and their intra-hospital journey at the center. The model can systematically keep track of all activities performed on a patient transversally to the healthcare organization, including all operational units and their structural, technological, and organizational aspects over time. It can reveal information and factors concerning adverse events and clinical complications, then analyze them to estimate the risk of expected, unexpected, or unwanted patient outcomes" (NIH, 2021)
Assists in predicting healthcare risk using AI. AI intervention has helped in proactively using its data to launch interventions. It is a tool that has come alongside many practitioners to identify patients who are at risk. Then, streamline and pinpoint treatment decisions, and actively pursue quality improvement in patients' healthcare, which in turn enhances overall patient and return to good health (Dixon, NIH,2024).
Vanguards (NIH, IHI, and NAHQ) of quality healthcare lie at the base of an evidence-based approach to implementing the three C's, which is a major component of healthcare Improvement. Together with AI, hospital organizations across the country and the globe have implemented guidelines. These guidelines consist of "Perspective: Consistency, Continuity, and Coordination—The 3Cs of Seamless Patient Care. Amid our efforts to improve healthcare quality, we can easily lose sight of the most basic questions. Consider evidence-based clinical guidelines, protocols, and pathways." (IHI, 2025).
A type of the three C’s system was used to conceive the new Creighton University Hospital Pharmacy Delivery System in 2002. The goal was to create a new pharmacy medication delivery system that would serve a population of over 1,600 combined university staff working at 50 buildings on the campus. The pharmacy concept integrated a system of seamless patient care. Our new pharmacy delivery system offers convenient and discreet medication delivery directly to your door. In this case, to the office workplace. From the moment the staff enrolled, they knew that their medication care would be in the hands of knowledgeable and specialized pharmacy experts. The driving force behind the creation of the program is the consistency of delivery based on evidence-based protocols taken from some of the top pharmacy delivery businesses in the country.
The IHI is a globally recognized non-profit Healthcare organization whose main emphasis is on quality improvement. The organization has applied evidence-based improvement efforts for over 30 years. This organization is invested in quality improvement as their vision and mission. The implications of this organization impact the day-to-day running of healthcare facilities globally. (IHI, 2025). List of exploration and guidance:
Security-Driven Approach
The goal of the security-driven approach is to embed a mindset of the importance of the severity of security systems that are tied to protecting and defending its systems against vulnerabilities. The safety of data is inherited in its security, being the number one priority of any healthcare facility. The AI-driven system must be hardened and fixable to support data systems. The data systems need to be robust and have the ability to be resilient. One example is called the 3-2-1 backup system by Arcserve Computer Company. Arcserve is an AI-driven healthcare cyber protection company that created the 3-2-1-1 backup strategy:
These systems will be integrated with artificial intelligence and must have multiple redundancies due to the gravity of a medical facility's importance. Data security is integral in the practice and measurement of protecting variable and exclusive data from unauthorized access, disclosure, alteration, and loss of physical and or logical security controls. This also includes organizational policies. Below is a list of detailed data security initiatives that need to be implemented to successfully secure medical facility data.
Key Aspects of Data Security
Data security is the process of safeguarding information from unauthorized access, use, disclosure, disruption, modification, or destruction, regardless of the storage medium or transmission method. Why it's important: Data breaches can lead to significant financial losses, reputational damage, legal penalties, and loss of customer trust.
Scope: Data security covers a wide range of areas, including:
Cost-Effective Approach
The redistributing of resources is key to cost-effective approaches. It is demonstrated by making sure that ineffective resources are moved to effective interventions. This encompasses how resources are utilized from shortfalls and then applied to cost-effective interventions. This approach is value-based care integration to support cost-effectiveness.
Such as in the previous information demonstrated in this outline. Cost-effectiveness can be expressed by using Telehealth, evidence-based practices, data analysis, care coordination, and preventive care. Focusing on using AI to automate repetitive tasks, leveraging open-source tools, and optimizing data usage. This would be through the improvement of quality, streamlining administrative processes and demonstrating course transparency.
List of Cost-Effective Approaches:
To enhance healthcare efficiency and reduce costs, several key strategies pointed out in the bullet statements above can be implemented. A shift towards value-based healthcare prioritizes patient outcomes and overall care value rather than the volume of services provided. Payment reform can support models that incentivize quality over quantity, while integrated care across various settings optimizes patient pathways.
Leveraging AI technology and data analytics can streamline customer service, supply chain management, and resource allocation, with automation helping identify inefficiencies. By focusing on prevention, population health management, and hospital-at-home models, healthcare systems can minimize future intervention costs and enhance overall health outcomes. Streamlining administrative processes and optimizing resource allocation further contribute to cost-effective care delivery.
Interoperability-Driven Approach
An Interoperability-Driven Approach in healthcare coordinates a multitude of complex systems, devices, and applications to effortlessly communicate, exchange, and use healthcare data. Interoperability-driven approach consistently improves patient care, efficiency, and healthcare outcomes. List of interoperability outcomes:
Adopting an interoperability-driven approach in healthcare is pivotal in ensuring a seamless, efficient, and patient-centered care model. By facilitating the communication, exchange, and meaningful use of data across diverse systems, interoperability enhances care coordination, improves patient safety, and reduces errors. The four levels of interoperability—foundational, structural, semantic, and organizational—serve as essential building blocks for achieving comprehensive and real-time access to patient information, leading to more informed clinical decisions and better healthcare outcomes. Moving forward, it is crucial for healthcare stakeholders to prioritize further advancements in interoperability to continue improving both patient experiences and overall healthcare system performance.
Regulator-Driven Approach
The approach states that regulatory entities and government agencies demonstrate leadership in setting quality standards, guidelines, and specific mandated activities for commerce, regulating safety, fairness, and ensuring compliance with legal requirements. Regulator-Driven Approach must comply with all statutes and regulations concerning healthcare regulatory requirements. The healthcare organization must identify possible risks and develop procedures to navigate regulatory initiatives effectively. One of the entities that supports this approach is the National Association for Healthcare Quality. Bohmer 2010 pointed out that in a medical setting, fostering collaboration and continuous education among the healthcare team is essential for enhancing patient care (Bohmer, HBR, 2020)
As a trusted partner and expert in the world of quality improvements. This organization uses AI data-driven intelligence and expertly uses education tools that are dedicated to helping healthcare organizations nationally. The NAHQ organization has a passionate investment in building healthcare quality champions. They are trusted, experienced experts and partners in facilitating healthcare professionals and their organizations in achieving concise quality development.
NAHQ states that it is not what healthcare is, but how to invest its immense power in assisting facilities in achieving greater healthcare outcomes. Their mission and vision are aligned with reshaping healthcare quality improvement and safety to Institute a defined value delivery quality system (NAHQ, 2025). Goals for Improving Healthcare Quality and Patient Safety:
Technology, AI, and Automation-Driven Approach
The AI and Technology healthcare-driven approach is responsible for increasing patient experiences by flawlessly integrating data with real-time insights. It also coordinates improved care and outcomes. The practicality of understanding the immense capacity that is important to healthcare, with the intervention of technology and artificial intelligence. One thing that stands out is the integration of cloud computing, which has allowed many facilities across the country and globally to gain masses of data.
To facilitate greater healthcare outcomes at the cutting-edge speed. Throughout the many disciplines, business organizations, and technology departments introduction of AI with cloud computing has become immensely helpful in supporting medical centers and hospital facilities' day-to-day work and mission. It has centralized profits and given practitioners the capability of finding individual patients' healthcare problems and relief at the touch of a keystroke. AI has decreased diagnosis time and increased the speed of administrative actions. It has automated many internal organizations, such as radiology and pharmacy. Laboratory and patient care. List of AI and technology-driven approaches:
Conclusion
In conclusion, this paper proposes a driven approach model that can successfully implement healthcare technology that relies on a multifaceted interplay of key driving forces—technological, regulatory, economic, and human-centered. Understanding these eight primary approaches (data-driven, patient-centered, evidence-based, security-driven, cost-effective, interoperability-driven, regulator-driven, and AI/automation-driven) is essential for navigating the evolving digital health ecosystem.
Stakeholder collaboration is critical: clinicians must adapt to tools like EHRs; patients need education on mobile and wearable health tech; policymakers must align innovation with regulatory standards. Artificial intelligence and automation are not just tools but transformative catalysts, redefining how healthcare is delivered, analyzed, and personalized. To move forward, a balanced strategy is required—one that encourages technological advancement while safeguarding privacy, promoting equity, and ensuring clinical relevance. Future healthcare innovation must be built on a foundation of ethical integration, patient empowerment, and cross-sector cooperation to achieve sustainable, high-quality care.
References
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A comprehensive and thoughtful exploration of the forces shaping healthcare technology implementation, thank you, Dr. Richard Velez, PhD, MEd, MS, MHA and The American Journal of Healthcare Strategy. As a pharmacy committed to blending advanced technology with deeply human care, we found this framework especially relevant. The balance between AI-driven innovation and patient-centered design is something we navigate every day, particularly as we build systems to improve transparency, streamline coordination with providers, and enhance the pharmacy experience from referral to delivery.Thank you for insights like these that help all of us elevate our approach. One question we’re thinking about as we scale tech-enabled pharmacy services: How can organizations strike the right balance between automation and the human touch, particularly in high-trust, patient-facing environments like pharmacy? Are there guiding principles or models you’ve found effective for integrating AI while maintaining empathy, compliance and continuity of care?
Driving Healthcare Innovation with AI Speech Analytics at Penn Medicine | Co-Founder, AJHCS | Board Member, DVHIMSS
3wMoss Jacobson, MBA, CC, GRCP, GRCA, ICEP, IAIP you are a cyber security savant. What are your thoughts on the security driven development section? Any specific threats that are coming to mind as of late?
Healthcare | Business | Media
3wI am a huge fan of the 3-2-1 backup strategy for saving data. It is something that I have unfortunately had to learn through trial and error after multiple cases of lost flash drives and information. A big concern with a lot of promising softwares is HIPAA compliance. Are there any softwares or hardwares that you have personally found to be beneficial in backing up patient-sensitive data offsite?
Innovating at the Intersection of Management & Strategy
3wThe way you’ve broken down the driving forces behind healthcare technology into distinct categories is incredibly helpful—especially as we try to make sense of what’s shaping adoption today. I’m particularly interested in how these forces intersect. For instance, how do regulatory pressures align (or clash) with AI-driven innovation? Looking forward to reading more. This kind of layered analysis is what the industry needs to navigate change with intention.
Driving Healthcare Innovation with AI Speech Analytics at Penn Medicine | Co-Founder, AJHCS | Board Member, DVHIMSS
3wThere's so much pressure that organizations are facing. They need to grow but they also need to do so securely, safely, while remaining fiscally responsible. I appreciated the sections on security driven adoption, which I feel is now very important. Ai has increased cyber security threats while at the same time AI solutions are helping to defend them. Great article and examples on why the "driven approach" is so important.