Chapter 8
The Impact of Information Technology on
Productivity and Quality of Life
At a Glance
Instructor’s Manual Table of Contents
Overview
Objectives
Teaching Tips
Quick Quizzes
Discussion Questions
Additional Projects
Additional Resources
Key Terms
Lecture Notes
Overview
Chapter 8 discusses issues in leveling the playing field between societies that have access to
technology and societies that do not have access to technology. The chapter also discusses
initiatives to close the digital divide within communities in the United States, such as the E-Tech
program provision in No Child Left Behind. The second half of the chapter concerns the impact
of information technology on healthcare costs.
Objectives
As students read this chapter, they should consider the following questions:
What impact has IT had on the standard of living and worker productivity?
What is being done to reduce the negative influence of the digital divide?
What impact can IT have on improving productivity by reducing costs and/or improving
quality?
What ethical issues are raised because some entities can afford to make significant
investments in IT while others cannot and thus are blocked in their efforts to raise
productivity and quality?
Teaching Tips
Vignette—Problems with the E-Rate Program
1. Discuss how Democratic Senator John D. Rockefeller IV called for an expansion of
I. The Impact of IT on the Standard of Living and Worker Productivity
1. Begin the discussion by explaining that standard of living varies greatly among groups
within a country as well as from nation to nation. The most widely used measurement of
the material standard of living is gross domestic product (GDP) per capita. National GDP
Teaching
Tip
Take the time to explain that major disasters—such as hurricanes, tsunamis, and
wars—can negatively impact the standard of living.
A. IT Investment and Productivity
1. Introduce the term productivity. Use examples to aid the discussion.
2. The Bureau of Labor Statistics tracks U.S. productivity on a quarterly basis. In the
United States, labor productivity growth has averaged about 2 percent per year for the
past century, meaning that living standards have doubled about every 36 years. Use
Figure 8-1 to aid the discussion.
3. Point out that innovation is a key factor in productivity improvement, and IT has played
an important role in enabling innovation. Progressive management teams use IT, as well
as other new technology and capital investment, to implement innovations in products,
Teaching
Tip
Point out the difficulty in quantifying how much IT has contributed to worker
productivity.
Telework
1. Telework (also known as telecommuting) is a work arrangement in which an
employee works away from the office—at home, at a client’s office, in a hotel—
B. The Digital Divide
1. Explain that when people talk about standard of living, they are often referring to a level
of material comfort measured by the goods, services, and luxuries available to a person,
group, or nation.
2. Introduce the term digital divide. Use Table 8-4 to aid the discussion.
3. Note that the digital divide exists from country to country and even within countries—
among age groups, economic classes, and people who live in cities versus those in rural
areas.
E-Rate Program
1. Students should be aware of the Education Rate (E-Rate) program, which was
created through the Telecommunications Act of 1996. E-Rate helps schools and
libraries obtain broadband Internet services to advance the availability of educational
and informational resources.
providers to make sure that the discounts are passed along to program participants.
Low-Cost Computers
1. It is estimated that nearly 2.4 billion people worldwide have Internet access as of June
2012. Note that although that number is impressive, it still leaves nearly 5 billion
people (72% of the world’s population) unconnected.
2. Explain that the nonprofit organization One Laptop per Child (OLPC) has a goal of
providing children around the world with low-cost laptop computers to aid in their
education.
3. Introduce the XO-4 (see Figure 8-2), which was designed to require just 1 watt of
electricity per hour and sell for $206, with a minimum purchase of 10,000 units. Note
that the OLPC XO-4 comes with up to an 8 GB hard drive and 1.2 GHz processor.
4. In 2006, Intel introduced a low-cost laptop called the Classmate PC. Explain that the
first generation of this notebook computer cost under $400 and was designed for use in
kindergarten through high school classrooms in developing countries. Intel does not
actually build the machine but instead provides the basic design used by various
manufacturers around the world.
5. The Raspberry Pi is a small (about the size of a credit card), inexpensive ($25–$35)
computer developed by the Raspberry Pi Foundation, a United Kingdom charity. This
stripped-down computer comes with either 256 MB or 512 MB of RAM, a 700 MHz
processor, one or two USB ports, and an Ethernet port—but no case and no monitor.
Although the price of the Pi certainly makes it attractive, it is not clear that this device
has the necessary ruggedness, portability, and functionality to meet the educational
computing needs of schoolchildren.
Mobile Phone: The Tool to Bridge the Digital Divide?
1. Some industry observers identify the increasing use of cell phones as an important first
Quick Quiz 1
1. ____ is defined as the amount of output produced per unit of input, and it is measured in
many different ways.
2. ____ is a work arrangement in which an employee works away from the office—at home, at
a client’s office, in a hotel—literally, anywhere.
3. National ____ represents the total annual output of a nation’s economy.
4. The ____ is a term used to describe the gulf between those who do and those who don’t have
access to modern information and communications technology, such as cell phones,
smartphones, personal computers, and the Internet.
II. The Impact of IT on Healthcare Costs
1. Explain that the rapidly rising cost of health care is one of the twenty-first century’s major
challenges. U.S. healthcare spending hit an estimated $2.7 trillion in 2011 and is expected
to increase an average of 6.3 percent per year (a rate much higher than overall inflation)
between 2015 and 2021, according to the Centers for Medicare and Medicaid Services.
2. Point out that the development and use of new medical technology, such as new diagnostic
procedures and treatments, account for much of the increase in healthcare spending per
person in excess of general inflation.
3. Students should be aware that in order to really gain control over soaring healthcare costs,
patient awareness must be raised and technology costs must be managed more carefully.
A. Electronic Health Records
1. Point out that although the healthcare industry depends on highly sophisticated
technology for diagnostics and treatment, it was slow to implement IT solutions to
improve productivity and efficiency. However, the healthcare industry has now greatly
B. Use of Mobile and Wireless Technology in the Healthcare Industry
1. Note that the healthcare industry was actually a leader in adopting mobile and wireless
technology, perhaps because of the frequent urgency of communications with doctors
and nurses, who are almost always on the move.
2. Discuss the common use of mobile and wireless technology in the healthcare industry.
C. Telehealth
1. Telehealth employs electronic information processing and telecommunications to
support at-a-distance health care, provide professional and patient health-related
training, and support healthcare administration.
2. Introduce the concept of telemedicine explaining that it is the component of telehealth
that provides medical care to people at a location different from the healthcare
providers.
Teaching
Tip Discuss the advantages and disadvantages of each form of telemedicine.
D. Medical Information Web Sites for Laypeople
1. Healthy people as well as those who suffer from illness need reliable information on a
wide range of medical topics to learn more about healthcare services and to take more
responsibility for their health. Clearly, laypeople cannot become as informed as trained
medical practitioners, but a tremendous amount of healthcare information is available
Quick Quiz 2
1. A(n) ____ is a summary of health information generated by each patient encounter in any
healthcare delivery setting.
2. ____ employs modern telecommunications and information technologies to provide medical
care to people who live far away from healthcare providers.
3. ____ requires the presence of patients and healthcare providers at different sites at the same
time and often involves a video conference link between the two sites.
4. ____ involves acquiring data, sound, images, and video from a patient and then transmitting
everything to a medical specialist for later evaluation.
Discussion Questions
1. For the average worker, does higher productivity result in higher wages? Clearly, higher
wages means a higher standard of living. Is there a relationship between GDP and the
average earnings of workers?
2. In what way does technology provide a way out of poverty for the poorest nations?
3. What are the disadvantages of telemedicine?
4. Discuss the legal and ethical issues associated with the use of telemedicine.
Additional Projects
1. Write an essay outlining the pros and cons of providing cheap laptops to students in
underperforming, poor school districts.
2. Write a paper comparing the benefits of telemedicine to the benefits of seeing patients in
person, considering factors such as cost, the physical health of the patient, the emotional
well-being of the patient, and the type of patients most likely to benefit from such a system.
Additional Resources
1. A number of publications from the NITRD, such as reports to the President on
Revolutionizing Healthcare Through Information Technology:
Key Terms
Digital divide—the gulf between those who do and those who don’t have access to
modern information and communications technology, such as cell phones, smartphones,
personal computers, and the Internet.
Education Rate (E-Rate) program—a program created through the Telecommunications
Act of 1996 to help schools and libraries obtain broadband Internet services to advance the
availability of educational and informational resources.
Electronic health record (EHR)—a computer-readable record of health-related
information on an individual.
Health Information Technology for Economic and Clinical Health Act (HITECH Act)
an act passed as part of the $787 billion 2009 American Recovery and Reinvestment Act
One Laptop per Child (OLPC)—a nonprofit organization whose goal is to provide
children around the world with low-cost laptop computers to aid in their education.
Productivity—the amount of output produced per unit of input, and it is measured in many
different ways.
Remote monitoring—(also called home monitoring) involves the regular, ongoing
measurement of an individual’s vital signs (temperature, blood pressure, heart rate, and
breathing rate) and other health measures (e.g., glucose levels for a diabetic) and the
transmission of this data to a healthcare provider.
Store-and-forward telemedicine—involves acquiring data, sound, images, and video
from a patient and then transmitting everything to a medical specialist for later evaluation.