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In the era of health information exchanges, there are trade-offs to consider when sharing a patient’s medical record among all providers that a patient might choose. Exchange among in-network partners on the same electronic medical records (EMR) and other integrated information systems is trivial. The patient identifier is common, as are the relevant(More)
This paper is the first of a series of three articles relating to a case study conducted at Fairfield University to assess aspects of the rapid introduction of Information Technology at the institution. This article deals with the nature of the problem faced by Fairfield University, the characteristics of the case methodology, and lays the foundation for(More)
This study examines the situation that produced a high-tech industry (software development) despite the generally deprived conditions in the country. The authors examine the legacy of colonialism, the ensuing democracy with a socialist bent, and how the global software industry emerged. Clearly the education system and the prevailing infrastructure in a(More)
The author spent considerable time in a small rural village in Haiti. In addition to the environmental stress of the region, there was an absence of basic infrastructure to support the basic necessities of life. This article reports on the introduction of a solar cooker to the community in a culturally sensitive manner. The community absorbed that change(More)
In this paper, the authors describe the process of converting from a microfinance organization to a regulated bank in Haiti. The literature was helpful as far as some of the procedures were concerned, and the organization was able to use the recommendations. However the researchers found some major omissions in those recommendations as far as infrastructure(More)
Dr. Winston Tellis, Fairfield University, winston@mail.fairfield.edu Abstract This paper reports on a small business in Leon, Nicaragua that was started in 1997. With a loan from a microfinance organization, equipment was acquired for the silk screening operation. The researcher reports on the challenges that are faced in developing countries where the(More)
In the preceding article (Tellis, 1997), the goals and objectives were presented and explained in detail. In this article, the methodology to accomplish those goals and objectives will be examined. The reader will become familiar with the specific techniques that are used in the current study, and supported by the literature that was reviewed in the(More)
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