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Evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability
PURPOSE: Advanced Electronic Medical Records (EMR) provide many potential benefits to hospitals. However, because of their broad scope, many stakeholders deal with the EMR and a continuous effort has to be made to keep up with internal and external change. Therefore, hospitals need to deliberately s...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Emerald Publishing Limited
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616019/ https://www.ncbi.nlm.nih.gov/pubmed/35362298 http://dx.doi.org/10.1108/JHOM-10-2021-0379 |
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author | Walraven, Pien van de Wetering, Rogier Helms, Remko Caniëls, Marjolein Versendaal, Johan |
author_facet | Walraven, Pien van de Wetering, Rogier Helms, Remko Caniëls, Marjolein Versendaal, Johan |
author_sort | Walraven, Pien |
collection | PubMed |
description | PURPOSE: Advanced Electronic Medical Records (EMR) provide many potential benefits to hospitals. However, because of their broad scope, many stakeholders deal with the EMR and a continuous effort has to be made to keep up with internal and external change. Therefore, hospitals need to deliberately shape their organizational competencies considering the pursuit of alignment, i.e. making sure that the EMR remains optimally aligned with strategies, goals and needs of the hospital and its stakeholders. This paper aims to investigate the evolutionary paths of these alignment competencies and their drivers, from a theoretical perspective of co-evolutionary information systems alignment (COISA). DESIGN/METHODOLOGY/APPROACH: This paper reports on a longitudinal multiple case study of three Dutch hospitals which each recently implemented an advanced EMR system. The authors conducted 35 in-depth interviews in 2 phases (before and after go-live of the EMR), and studied documentation related to the EMR implementations. FINDINGS: The findings show that each hospital's COISA capability shows a different evolutionary path. However, two of the three case hospitals ended up coordinating part of their COISA capability to an ecosystem level, i.e. they incorporated other hospitals using the same EMR system to coordinate their alignment efforts, either from an operational perspective, or in terms of orchestration and strategy. The found evolutionary paths' key drivers include “stakeholder initiative”, “accumulating experience”, “driving events” and “emerging issues”. ORIGINALITY/VALUE: The findings help healthcare practitioners to deliberately shape their organization's COISA capability in pursuit of EMR alignment. Furthermore, the authors add to the knowledge base on co-evolutionary approaches to alignment through the longitudinal approach. |
format | Online Article Text |
id | pubmed-9616019 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Emerald Publishing Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-96160192022-11-14 Evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability Walraven, Pien van de Wetering, Rogier Helms, Remko Caniëls, Marjolein Versendaal, Johan J Health Organ Manag Research Paper PURPOSE: Advanced Electronic Medical Records (EMR) provide many potential benefits to hospitals. However, because of their broad scope, many stakeholders deal with the EMR and a continuous effort has to be made to keep up with internal and external change. Therefore, hospitals need to deliberately shape their organizational competencies considering the pursuit of alignment, i.e. making sure that the EMR remains optimally aligned with strategies, goals and needs of the hospital and its stakeholders. This paper aims to investigate the evolutionary paths of these alignment competencies and their drivers, from a theoretical perspective of co-evolutionary information systems alignment (COISA). DESIGN/METHODOLOGY/APPROACH: This paper reports on a longitudinal multiple case study of three Dutch hospitals which each recently implemented an advanced EMR system. The authors conducted 35 in-depth interviews in 2 phases (before and after go-live of the EMR), and studied documentation related to the EMR implementations. FINDINGS: The findings show that each hospital's COISA capability shows a different evolutionary path. However, two of the three case hospitals ended up coordinating part of their COISA capability to an ecosystem level, i.e. they incorporated other hospitals using the same EMR system to coordinate their alignment efforts, either from an operational perspective, or in terms of orchestration and strategy. The found evolutionary paths' key drivers include “stakeholder initiative”, “accumulating experience”, “driving events” and “emerging issues”. ORIGINALITY/VALUE: The findings help healthcare practitioners to deliberately shape their organization's COISA capability in pursuit of EMR alignment. Furthermore, the authors add to the knowledge base on co-evolutionary approaches to alignment through the longitudinal approach. Emerald Publishing Limited 2022-03-30 2022 /pmc/articles/PMC9616019/ /pubmed/35362298 http://dx.doi.org/10.1108/JHOM-10-2021-0379 Text en © Pien Walraven, Rogier van de Wetering, Remko Helms, Marjolein Caniëls and Johan Versendaal https://creativecommons.org/licenses/by/4.0/Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at https://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Research Paper Walraven, Pien van de Wetering, Rogier Helms, Remko Caniëls, Marjolein Versendaal, Johan Evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability |
title | Evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability |
title_full | Evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability |
title_fullStr | Evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability |
title_full_unstemmed | Evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability |
title_short | Evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability |
title_sort | evolving competencies to align electronic medical records – a dynamic resource-based perspective on hospitals' co-evolutionary information systems alignment capability |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616019/ https://www.ncbi.nlm.nih.gov/pubmed/35362298 http://dx.doi.org/10.1108/JHOM-10-2021-0379 |
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