IT Governance for Balancing Evolveability and Standardization in Health Information System Implementation in Ethiopian Context

Failing to balance standardization and evolveability in IS design and implementation process results sustainability failure which is common in developing country. IS research provides various IS design solution including layered modular architecture to address both evolveability and standardization simultaneously. However, this design solution requires appropriate IT governance mechanisms which lacks both theoretical and empirical explanation in IS research. The core of this research is understanding IT governance mechanism design that can balance standardization and evolveability in the course of IS design and implementation. The research uses the case of District Health Information System-2 (DHIS-2), layered modular architecture, design and implementation in public health care context of Ethiopia. The major research question guiding this study is how IT governance mechanism design and its interplay with IS architecture design shape DHIS-2 design and implementation process towards standardization and/or evolveability? The research strategy adopted in this case will be based on an interpretive case study approach

A REVIEW OF SD-LOGIC RESOURCES IN INFORMATION SYSTEMS

The evolution from a Goods-dominant logic (GD-logic) into a Service-dominant logic (SD-logic) is marked by fundamental changes in how we leverage resources for innovation. The current paper offers a review of service-dominant logic (SD-logic) resources within the field of Information Systems (IS). It uses a scoping review method of papers from the senior scholars’ basket of journals and the two flagship IS conferences: ECIS and ICIS. The review is focused on examining the theoretical and empirical applications of SD-logic in order to develop a basic conceptual classification of resources within IS that contributes into understanding service innovation in market and society. Four main conceptualizations of resources were identified in the reviewed papers of which only two embrace resources as conceptualized in SD-logic. Also, the review suggests that the field of IS does not seem to have yet maturely embraced SD-logic and has not sufficiently made its way into dominant journals and conferences with the field

Interoperability Maturity Model: Orchestrator Tool for Platform Ecosystems

The orchestration of platform ecosystems is becoming increasingly complex due to the growing number of players, complementary services and technological innovations. Interoperability is an important prerequisite for convincing customer journeys as well as functional and quality-assured data exchange and offers increasing potential for automation, especially with the help of machine learning or artificial intelligence. The interoperability maturity model developed in this study can be used as a conceptual framework to measure the interoperability of current and future platform ecosystem components and complements. The model, developed as an artifact of design science research, was evaluated using an iterative approach with orchestrators of health data platforms and their ecosystem. The results suggest that it can contribute to achieving and sustaining integrated value chains with multiple actors and diverse technologies, and can be used to assess the interoperability of care chains (e.g., care scenarios such as diabetes or cardiac insufficiency) and guide future interoperability considerations

A Systematic Review of Service Innovation in the Service Sector

Service innovation offers service firms an opportunity to strategically renew their brands in a continuum that fosters increased interactions between the firm, its customers and other stakeholders. Essentially, the many benefits service innovation concept offers businesses, makes it quite germane for businesses seeking to compete favourably in a fast paced technologically and knowledge based economy we live in. This study therefore conducts a systematic review on Service Innovation in the Service Sector (SISS) with a view to develop a quantitative summary of the field and provide a guide for future researchers. The Systematic Quantitative Assessment Technique (SQAT) developed by Australian researchers Catherine Pickering and Jason Anthony Bryn in 2013, was used to identify and review 94 peer- reviewed service innovation articles within 2008-2017 from six high quality academic databases. The findings of this study is a new study in SISS research with the primary focus of SISS articles on seven themes. 12 out of the 94 papers were found to have taken place in the UK, with China and Taiwan sharing 9 papers each and 8 papers only in Malaysia. All the 94 SISS articles adopted a single research method with 28 papers adopting the use of questionnaire. Also, the study revealed no literatures on SISS exists in Nigeria. Directions for future research were suggested and appropriate conclusions drawn. The findings of this study would look to guide policy planners and researchers alike on the course of current SISS research. This will in turn inform their choice aspects of SISS literatures seeking urgent research. This study is a new addition to existing literature and a novel quantitative summary in the area of service innovation within the service context

The Implication for Organisation and Governance Through User-Drivern Standardisation of Semantic Interoperable Electronic Patient Record Systems

The increased demand for more effective sharing of healthcare information to support complex patient pathways crossing organisational boundaries calls for semantic interoperable process-oriented Electronic Patient Record (EPR) systems. It follows the need for common standards to ensure that information is understood and interpreted consistently across various contexts. A considerable body of literature has demonstrated that standardisation within healthcare has proven difficult to achieve. Moreover, standardisation processes have traditionally had a top-down approach, for which little attention has been paid to users’ work practices. The many failures of standardisation efforts have put focus into alternative standardisation strategies, in which one promising method is promoted through the emerging openEHR approach for standardising the content of the EPRs. A network of voluntary clinical users should have a prominent role in standardisation processes and running the process in a distributed and negotiated manner over the Internet. In this paper, we seek to give empirical insight regarding the evolving process of developing and implementing a sematic interoperable EPR system based on the openEHR framework, and the implication for organisation and governance addressed by the evolving process. We analyse the case through an information infrastructure perspective, and claim that user-driven standardisation of semantic interoperable EPR systems has to be supported by a multi-level organisational infrastructure, in addition to governance organisations that make decisions and monitor results and performances at different healthcare levels. The organisational and governance infrastructure has to be established simultaneously, but preferably, in advance of new development projects. Empirically, we have followed the interplay between the developing process of an EPR system based on the openEHR approach and a government-led establishment of an archetype repository

A Systematic Review of Service Innovation in the Service Sector

Service innovation offers service firms an opportunity to strategically renew their brands in a continuum that fosters increased interactions between the firm, its customers and other stakeholders. Essentially, the many benefits service innovation concept offers businesses, makes it quite germane for businesses seeking to compete favourably in a fast paced technologically and knowledge based economy we live in. This study therefore conducts a systematic review on Service Innovation in the Service Sector (SISS) with a view to develop a quantitative summary of the field and provide a guide for future researchers. The Systematic Quantitative Assessment Technique (SQAT) developed by Australian researchers Catherine Pickering and Jason Anthony Bryn in 2013, was used to identify and review 94 peer- reviewed service innovation articles within 2008-2017 from six high quality academic databases. The findings of this study is a new study in SISS research with the primary focus of SISS articles on seven themes. 12 out of the 94 papers were found to have taken place in the UK, with China and Taiwan sharing 9 papers each and 8 papers only in Malaysia. All the 94 SISS articles adopted a single research method with 28 papers adopting the use of questionnaire. Also, the study revealed no literatures on SISS exists in Nigeria. Directions for future research were suggested and appropriate conclusions drawn. The findings of this study would look to guide policy planners and researchers alike on the course of current SISS research. This will in turn inform their choice aspects of SISS literatures seeking urgent research. This study is a new addition to existing literature and a novel quantitative summary in the area of service innovation within the service context

Exploring the Emergence of Open Platforms in Healthcare: Design Considerations and Experiences from an Initial Case in Norwegian Primary Care

Despite significant efforts on improving interoperability of health information and lowering socio-technical cost of replacing clinical applications, healthcare organizations and professionals struggle with fragmented and non-interoperable Health Information Technologies. This paper describes the emergence of open platforms, which may alleviate challenges related to interoperability issues, weak integrations, siloed data repositories, and numerous legacy systems within healthcare. Using a proposed platform initiative in Norway, we explore the open platform phenomenon with a socio-technical lens, and highlights four key topics that have produced tension and merits consideration from the involved stakeholders: i) Procurement strategy and vendor neutrality, ii) Ability to facilitate flexible use, iii) The use of standards and separation of data and application, and iv) Strategies for development and governance of standards. We further discuss the related implications and design considerations necessary to support complex patient pathways and provide clinicians more flexible and effective systems

Innovating through standardization: How Google Leverages the Value of Open Digital Platforms

The purpose of this paper is to examine how an actor strategically develops and diffuses technology standards that align with innovation trajectories while maintaining a consensus with competitors. We conduct a field study of HTML5 standardization and examine how Google strategically influences the development and diffusion of HTML5 toward their favorable standard trajectories. We show that Google has adopted two strategic policies (integrating outside technologies and avoiding the monetization of technologies) and engaged in two relational practices (forming alliances with browser vendors and engaging developer communities) to realize an open Web application platform on the HTML5 while competing and coordinating with other actors. Google attracts application developers and browser vendors to collaboratively develop HTML5 specifications and HTML5-compatible products and services, which have enriched Google\u27s open Web application strategy. These relational practices were enabled and amplified by non-commercial policies for corresponding web applications and the use of other parties\u27 technologies

Collaborative Innovation in Healthcare: Boundary Resources for Peripheral Actors

Realizing the potential of digital technologies in hospital care requires collaborative innovation among multiple actors both within and beyond hospitals. Our research investigates the question: what does it take to foster collaborative innovation within a traditionally siloed and closed health information infrastructure? Empirical findings are derived from three cases, which we analyze by focusing on how innovation relates to interfaces with hospitals’ information infrastructures. We draw on literature on digital platforms and innovation ecosystems and focus on the notion of boundary resources to characterize these innovation interfaces. While this notion has mainly addressed the concerns of platform owners for ‘securing’ and ‘resourcing’ their platforms, our analysis also points to resources related to peripheral actors’ needs, specifically ‘discovering’ and ‘vesting’ resources. Discovering resources assist innovators in making sense of possibilities and limitations, while vesting resources relate to value appropriation. These resources are crucial for collaborative innovation in existing hospital information infrastructures