Why information technology is not being used for financial advisory

With the global spending of more than US$4.1 trillion in 2007, healthcare has been one of the largest industries worldwide. To better plan and develop the healthcare system, an effective way is to leverage on the advancement of information technology (IT). However, despite of many attempts in the computerization and automation of healthcare services, most of the healthcare information systems failed to deliver in the era of rising expectations. With respect to this aspect, this study focuses on the success stories of a private-owned hospital in Singapore. We illustrate our lessons learned from this hospital, the Alexandra Hospital, which has successfully innovated a healthcare system setting and making a benchmark standard for the Singapore healthcare industry. By conceptualizing on the generation of innovative capability process, this study complements the scarce innovation literature in the service industry. Theoretical and practical contributions were shared and documented in this paper

Process Model Of Governance For Agility: A Healthcare Sysmtem Implementation In China

For an organization to sustain in the dynamic environment today, agility has become a key solution in its survival struggle. In attaining agility capability the standard formula for an organization is to achieve high flexibility in responding to stimulus and change. From this perspective, we have found a unique case study in which a hospital has successfully implemented three healthcare IT systems -EMR, HIS and PACS within two months in responding to internal and external challenges. In this case study,21 informants were interviewed to find how institutional governance for agility influences the progress of Hospital Information Systems (HIS) implementation in ZCH hospital.Data analysis was performed in tandem with collected data, recursively iterating between the empirical data, theoretical lens, and literature, in the mould of building the process model. This process model of governance for agility suggests that an agile HIS implementation is achievable via strategic use of different IT governance models to promote greater use of organizational capabilities in preparing hospitals for change. It has value-added the literature by introducing different IT governance models at different phases of HIS implementation. Practitioners could plan an agile HIS implementation by referring to the model as a systematic roadmap in governing and strategizing hospital resources and capabilities

A Strategic Improvisation Model: A Case Study Of Healthcare Information Systems Design

Pressured by the speed of technological advances, the need for change and improvisation has hit the healthcare industry. Now society demands that healthcare providers offer better patient care through the creative use of information technologies. In turn, healthcare management asserts pressure on IS/IT practitioners to expand the boundaries for innovative IS design strategies. Research on healthcare information systems (HIS) improvisation remains relatively underdeveloped. To fill this gap, from the perspective of a case study, we use both organizational improvisation and bricolage theoretical lenses to examine how strategic improvisation might give rise to superior HIS design. Theoretically, we proposed an inductively-derived conceptual model of improvisation that explains how strategic improvisation contributes to the formation of superior HIS that offer value added and quality patient-centric healthcare delivery. Professionally, this study contributes three key insights for IS improvisation in the healthcare industry with application to wider information systems development

UNDERSTANDING SOCIAL INTEGRATION PROCESSES IN THE USE OF ENTERPRISE SYSTEMS (ES): A SOCIAL CAPITAL PERSPECTIVE

Ph.DDOCTOR OF PHILOSOPH

The Use of Enterprise Systems in a Malaysian Company: A Social Integration Perspective

Among recent enterprise systems (ES) research, not much attention and focus have been given to the use and management of ES. Thus, we will examine the daily operations of ES from the social integration (SI) perspective. The main purpose is to understand the influence of SI mechanisms in ES application. We adopt an interpretive case study approach, using 40 interviews with employees from a company with 10 years of experience in the management and application of ES. Based on our findings, we have identified three social integration mechanisms- relational reformation, structural reformation and cognitive construction that had influenced the transformation of individual knowledge and expertise to achieve efficient and effective use of ES

Does blockchain introduce new tensions in supply chain networks? A view from the food supply chain industry

Traceability and Authenticity (TA) has been a crucial concern for supply chain networks, as illegal and unauthorised practices spread due to a lack of TA. Innovative technology blockchain is argued to enable TA and address different issues in the food supply chain. While existing literature has mostly taken a techno-optimistic view of blockchain’s potential to solve current supply chain issues, tensions that blockchain can introduce in supply chain activities remain neglected. Therefore, this study empirically investigated blockchain implementation to uncover the new tensions in supply chain activities while solving existing tensions. Activity theory was adopted as a theoretical lens with in-depth qualitative interviews from organisations deploying blockchain to enable TA in the network. The study proposes new theoretical insights on how tensions emerge and build on each other to achieve TA in the supply chain network, which will guide organisations to improve TA by adopting blockchain

Theorising blockchain in supply chain activities with activity theory

This paper aims to provide new insights into the integration of blockchain in supply chain activities by examining them through activity theory. Existing blockchain-based supply chain studies are typically atheoretical, meaning they lack theoretical development. Existing studies that are theoretical in their orientation tend to lean towards predictive theories heavily. We suggest that explanatory theory is more beneficial for studying emerging technology. We propose activity theory to theorise and explain blockchain-mediated supply chain activities. Based on case vignettes, we illustrate how activity theory can drive novel insights. This approach highlights how activity theory can privilege extended or new insights in the study of blockchain and supply chains. Future research steps are discussed

ES Implementations – A Model of Panoptical Empowerment

Enterprise Systems (ES) / Enterprise Resource Planning (ERP) systems implementations have been widely popular with organisations in the past century with revenues of 37.5 billion USD in 2008 (AMR, 2009). Empowerment of users is one of commonly cited benefits of ES usage. However, literature review suggests a paradoxical situation exists with the empowerment of users via the use of IT. Various researchers have attempted to address the panoptical control and empowerment controversy by attempting to explain the impact on managers and users. However, to ensure the success of ES implementation and use, it is idealistic to achieve an optimised balance for the organization to impose control on the use of IT i.e. Enterprise Systems and the empowerment benefits of IT. This study guided by the lens of panopticon control attempts to investigate the impact of empowerment and panoptical control on varying levels of users including management and the factors that assist in optimising both control and empowerment

A Case Study of Healthcare Information Technology Implementation: Agile-Innovative Capability Development Process

With the advances in Information Technology (IT), the potential of IT in enabling enterprise agility has received increasing attention from practitioners and the academia in recent years. However, despite the recent advance of knowledge on agility and IT innovation, the relationship between the adoption of IT and enterprise agility is often treated as a “black box” and empirical validation of the relationship between IT and enterprise agility is still scare. Moreover, the importance of agility in healthcare sector has largely been ignored. Our study proposes a three-stage process model that describes and analyzes the ways how agility and innovative capabilities are implemented and managed during the innovation of healthcare IT in a hospital. Theoretical and practical contributions were shared and documented in this paper

Living with ERP: A Sand Clock Model of End User Problems

Although a number of studies highlighted problems related to ERP systems, most of these studies focus on the problems during the project and implementation stages but not during the post-implementation process. Problems encountered in the process of using ERP would hinder the effective exploitation and the extended and continued use of ERP systems and their value to organisations. This paper investigates the different types of problems (operational, supervisory and managerial) users faced in using ERP. The paper adopts a qualitative method and uses data collected from two cases and 26 interviews to inductively develop a theoretical model in classifying ERP usage problems. A sand clock model of ERP usage problem is formulated to classify the identified problems into data quality, system quality, interface and infrastructure. The theoretical contribution of this paper is in gaining deeper insight on the impediments to effective use of ERP. From the practical point of view, this paper could assist managers to reach the sources of problems encountered by end-users and overcoming them