Generative mechanisms of IT-enabled organisational performance in resource-constrained Emergency Medical Services organisations in South Africa

Problem Statement: Emergency medical services (EMS) organisations have one of the highest levels of dependence on and use of information technology (IT) to support delivery of emergency medical services. The need for EMS organisations to provide efficient and effective emergency medical services has emphasised the importance of performance management. Organisational performance which is monitored and evaluated through key performance indicators (KPIs) plays an important role in EMS organisations. Organisational performance helps to monitor, evaluate and communicate outcomes in the form of KPIs. Empirical evidence shows that quantitative KPIs have been designed with little in-depth understanding of the underlying IT usage mechanisms that influence organisational performance. Unfortunately, such quantitative KPI reports have been limited in explaining organisational performance underpinned by IT. Purpose / rationale of the research: The purpose of this research study was to identify the generative mechanisms associated with IT-enabled organisational performance and to explain how these mechanisms interact. In the context of resource-constrained EMS organisations, quantitatively defined KPIs are not suitable for explaining the underlying causes of performance variations and outcomes. The lack of empirical evidence on IT-enabled organisational performance as well as the lack of theoretical explanations of the underlying mechanisms provided the primary rationale for this study. In addition, this study sought to provide answers to the following research question: What generative mechanisms explain IT-enabled organisational performance in resource-constrained EMS organisations? Theoretical approach/methodology/design: This study was informed by the critical realist philosophy of science and used the complex adaptive systems theory together with institutional theory as the theoretical lenses to investigate the research question in a manner that jointly explained the generative mechanisms. Using interviews, participant observation, organisational performance data and documents collected from a single case study, the study used abduction and retroduction techniques to explicate the mechanisms of IT-enabled organisational performance. Findings: Findings indicate that the IT-enabled organisational performance mechanisms can be categorised into two types of generative mechanisms. These are structural and coordination mechanisms. The explanation of the mechanisms developed in this study take into consideration three important elements: (1) the technological, cultural and structural mechanisms that influence IT-enabled organisational performance; (2) the unpredictable, non-linear, adaptive nature of emergency medical services environments; and (3) the complexities that arise in the interactions between EMS organisations and their environments. Originality/contribution: In respect of IT-enabled organisational performance this study contributes to both organisational and health information systems literature by developing a multi-level research framework that is informed by the realist philosophical stance. The framework plays an explanatory role which relates to its inherent ability to offer explanatory insights into the necessary mechanisms that give rise to organisational performance. This framework has the potential to guide empirical research and provide theoretical explanations of different domains or disciplines that are concerned with identifying IT usage mechanisms which influence organisational performance. These include the significance of the coordination and structural mechanisms which, under differing conditions of uncertainty, produce variations in performance outcomes. Implications: Findings from this study can be integrated into broader emergency medical policy planning and health programme management. The model developed by the study provides a fresh understanding of the underpinning mechanisms enabling performance in resource-constrained EMS organisations. It can be used to assist emergency medical institutions and practitioners in South Africa and other sub-Saharan African countries, especially Southern African Development Community (SADC) countries to improve emergency medical service delivery to the public. The findings provide a guide for improving management of emergency medical situations and resources in their respective resource-constrained contexts. Furthermore, findings from the study can also guide improved design and implementation strategies and policies of EMS systems initiatives in South Africa and sub-Saharan developing countries

The Effect Of Mobile BI On Organisational Managerial Decision-Making

Managerial decision-making has always involved the use of numerous distinct information resources. Modern managerial decision-making processes require a wealth of information that is enhanced and transformed into knowledge in order to take effective action. Mobility in business is increasingly exercising influence on core business processes of organisations. Recent advances in wireless technologies coupled with the rapid growth of mobile devices in business have led to a new era in business computing. Mobile Business Intelligence (Mobile BI) is a system that has been conceived to assist, accelerate and to enhance the managerial decision-making processes. Drawing from an array of previous studies that attempted to measure the value of Business Intelligence (BI) and other IT systems in organisations, this study develops a new kind of measure which is based on an understanding of the distinct properties of Mobile BI systems in an organisational-oriented context

Institutional Logics of IT-enabled Organizational Performance in Resource Constrained EMS Organizations

Previous research in information systems (IS) have used Institutional theory to explain how various institutional forces influence the use of information technology (IT) to support organizational performance in healthcare organizations. In this study, we use the institutional logics lens to theorize the institutional logics of IT-enabled organizational performance in the context of resource constrained emergency medical services (EMS) organizations. Our study is informed by the critical realist philosophy and uses interviews, participant observation and organizational data collected from a single case study to develop explanations of the institutional logics of IT-enabled organizational performance. From a CR perspective, institutional logics correspond to the structures which are situated in the domain of real. At this level, an institutional logics lens is considered an appropriate lens for such analysis. To identify and explain the institutional logics embedded in the EMS case, the study adapts Berente and Yoo (2012) framework for characterizing institutional logics. The study contributes to literature on the mechanisms that influence organizational performance in resource constrained healthcare organizations

The e ect of mobile BI on organisational managerial decision-making

Magister Commercii (Information Management) - MCom(IM)Managerial decision-making has always involved the use of numerous distinct information resources. Modern managerial decision-making processes require a wealth of information that is enhanced and transformed into knowledge in order to take effective action. Mobility in business is increasingly exercising influence on core business processes of organisations. The shift to wireless technologies coupled with the rapid growth of mobile devices in business has led to a new era in business computing. Mobile Business Intelligence (Mobile BI) is a system that has been conceived to assist, accelerate and to enhance the managerial decision-making processes. This thesis focuses on the e ect of Mobile BI on managerial decision-making. This thesis was able to answer the research question and to meet the research objectives through an extensive study of literature on the two most important spheres of influence i.e Business Intelligence and Managerial decision-making. Moreover, the objectives were met through the implementation of practical empirical research. The latter was carried out through a survey research design using questionnaire method of data collection. This research produced an number of ndings. The results indicated that Mobile BI played an important influencing role in the way managers make decisions. This study found that Mobile BI improved the quality of decisions made by managers used it for decision support subsequently improving performance of the organisation. Overall, four factors were found to be the predictors of Mobile BI for managerial decision making in organisations: Perceived Ease of Use of Mobile BI, Attitudes towards Use of Mobile BI, Perceived Value of Mobile BI with Behavioural Intention to Use of Mobile BI emerging as the most important predictors of Managerial Organisational decision-making