455,222 research outputs found

    Business Process Redesign in the Perioperative Process: A Case Perspective for Digital Transformation

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    This case study investigates business process redesign within the perioperative process as a method to achieve digital transformation. Specific perioperative sub-processes are targeted for re-design and digitalization, which yield improvement. Based on a 184-month longitudinal study of a large 1,157 registered-bed academic medical center, the observed effects are viewed through a lens of information technology (IT) impact on core capabilities and core strategy to yield a digital transformation framework that supports patient-centric improvement across perioperative sub-processes. This research identifies existing limitations, potential capabilities, and subsequent contextual understanding to minimize perioperative process complexity, target opportunity for improvement, and ultimately yield improved capabilities. Dynamic technological activities of analysis, evaluation, and synthesis applied to specific perioperative patient-centric data collected within integrated hospital information systems yield the organizational resource for process management and control. Conclusions include theoretical and practical implications as well as study limitations

    Interpreting an ERP implementation from a stakeholder perspective

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    ERP systems are software packages that enable the integration of transactions oriented data and business processes throughout an organization. ERP implementation can be viewed as an organizational change process: many problems related to ERP implementation are related to a misfit of the system with the characteristics of the organization. This article uses the evidence of a case study to uncover some important dimensions of the organizational change issues related to ERP implementation. The study shows how ERP implementation can impact the interests of stakeholders of the ERP-system and how these groups may react by influencing the course of events, for example by altering the design and implementation in ways that are more consistent with their interests. Understanding the possible impact of ERP on particular interests of stakeholders may help project managers and others to manage ERP implementations more effectively.

    Knowledge management : critical perspectives on e-business activities

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    This article is both a review and an agenda-setting piece. It argues that knowledge management suffers from conceptual and definitional ambiguity, oversimplification of its development processes, and methodological limitations. Nevertheless, there is a consensus in business and academia that knowledge is a key component of success and allows firms to achieve and sustains competitive advantages. In a digital era, these advantages arise from the potential of data and information that can be gathered, processed, shared, and used to improve e-business activities. Thus, this research bridges the gap in the assessment of knowledge management and e-business relationship, by applying an SEM to a large database sample of KM activities performed by European firms.N/

    Information systems evaluation: Navigating through the problem domain

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    Information systems (IS) make it possible to improve organizational efficiency and effectiveness, which can provide competitive advantage. There is, however, a great deal of difficulty reported in the normative literature when it comes to the evaluation of investments in IS, with companies often finding themselves unable to assess the full implications of their IS infrastructure. Although many of the savings resulting from IS are considered suitable for inclusion within traditional accountancy frameworks, it is the intangible and non-financial benefits, together with indirect project costs that complicate the justification process. In exploring this phenomenon, the paper reviews the normative literature in the area of IS evaluation, and then proposes a set of conjectures. These were tested within a case study to analyze the investment justification process of a manufacturing IS investment. The idiosyncrasies of the case study and problems experienced during its attempts to evaluate, implement, and realize the holistic implications of the IS investment are presented and critically analyzed. The paper concludes by identifying lessons learnt and thus, proposes a number of empirical findings for consideration by decisionmakers during the investment evaluation process

    Exploring the impact of technological competence development on speed and NPD program performance

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    With growing levels of competition across industries, technological competence is increasingly viewed as crucial for businesses to maintain their long-term competitive advantage. Although there are many theoretical arguments about how firms' competences can yield competitive advantage and performance improvement, we have a limited understanding of where the capabilities originate in the context of NPD or what kind of product portfolios, internal climate and strategic alignment are required to build them. Moreover, empirical evidence for technological competence development is limited and comes primarily from case studies, anecdotal evidence, and management impressions. Accordingly, this research addresses these gaps by presenting and testing a conceptual model of technological competence development in NPD. This study makes advances in applying a dynamic capability approach to technological competence development in NPD, and investigates the impact of innovative climate, technological alignment, and project portfolio management on technological competence development as well as NPD speed. Moreover, the factors that might influence NPD program performance are also investigated. The analysis, based on data collected from 164 firms, shows that a firm's innovative climate, technological alignment and portfolio management are positively associated with technological competence development. While technological alignment was found to be negatively related to NPD speed, portfolio management and technological competence development were found to have positive effects on speed. However, innovative climate had no significant impact on speed. Moreover, technological competence development and portfolio management were found to be positively related to NPD program performance. Finally, the authors found no support for the relationship between speed and NPD program performance

    Organizing the U.S. Health Care Delivery System for High Performance

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    Analyzes the fragmentation of the healthcare delivery system and makes policy recommendations -- including payment reform, regulatory changes, and infrastructure -- for creating mechanisms to coordinate care across providers and settings

    ICT–supported reforms of service delivery in Flemish cities: testing the concept of 'information ecology'

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    This paper explores organizational reforms in Flemish cities related to making the cities’ individual service delivery more efficient, customer orientated, customer friendly and integrated. The paper is the first one of a recently started research project and PhD research about the complexity of managing ICT-supported change of ‘individual’ service delivery. The overall objective of this paper is to set the stage for the research project’s research design in terms of its theoretical framework. Therefore, we report about our first explorative, inductive and descriptive findings related to this type of change within one city. We firstly inductively report about the objectives and the objects of change. Secondly, we develop a provisional theoretical framework. We therefore take the notion of an information ecology as a conceptual starting point and use a combination of elements of neo-institutional theory, system theory and a political perspective on organizational development. In order to explore the potentialities of this approach, we test the framework’s value for understanding the changes within the city. The framework enabled us to describe and analyze this type of reforms without neglecting the complexity of these changes. It tries to link some important public administration theories to the study of the e-government phenomenon that is still an important challenge. The most important lesson is that further refinement of the conceptual framework is needed. Although the analysis shows that the framework offers a conceptual basis to analyze front and back office reforms within public organizations, it still lacks a full and straightforward operationalization of its components, constructs, relations, etc
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