Event sequence modeling of IT adoption in healthcare

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Event sequence modeling of IT adoption in healthcare
Abstract: Information systems research is repletewith examples of the importance of business processes defining IT adoption. Business processes are influenced by both organizational and operational concerns. We evaluate the comparative importance of operational and organizational influences for complementary IT systems. In the context of acute-care hospitals the analysis shows that an organizational approach to automating a process is related to different financial outcomes than an operational approach. Six complementary systems supporting a three-stagemedicationmanagement process are studied: prescribing, dispensing, and administration. The analysis uses firm-level, panel data extracted from the HIMSS Analytics database spanning ten years of IT adoption for 140 hospitals. We have augmented the HIMSS dataset with matching demographic and financial details from the American Hospital Association and the Centers for Medicare and Medicaid Services. Using event sequence analysis we explorewhether organizations are more likely to adopt organization boundary spanning systems and if the sequence of adoption follows the temporal ordering of the business process steps. The research also investigates if there is a relationship between the paths to IT adoption and financial performance. Comparison of the two measures suggests that the organizational model of adoption is observed more often in the data. Following the organizational model of adoption is associated with approximately $155 dollar increase in net income per patient day; whereas the operational model of adoption is associated with approximately $225 dollars decrease in net income per patient day. However, this effect diminisheswith the adoption of each additional system thus demonstrating that the adoption path effects may only be relevant in the short-term
Keywords:	Innovation Business processes Automation Adoption IT strategy IS strategy
Author(s):	.
Source:	Decision Support Systems 55 (2013) 428–437
Subject:	فناوری اطلاعات
Category:	مقاله مجله
Release Date:	2013
No of Pages:	10
Price(Tomans):	0
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