The Norwegian eHealth Platform: Development Through Cultivation Strategies and Incremental Changes

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Technology and Sociomaterial Performation

Part 1: IS/IT Implementation and AppropriationInternational audienceOrganizational researchers have acknowledged that understanding the relationship between technology and organization is crucial to understanding modern organizing and organizational change [1]. There has been a significant amount of debate concerning the theoretical foundation of this relationship. Our research draws and extends Deleuze and DeLanda’s work on assemblages and Callon’s concept of performation to investigate how different sociomaterial practices are changed and stabilized after the implementation of new technology. Our findings from an in-depth study of two ambulatory clinics within a hospital system indicate that “perform-ing” of constituting, counter-performing, calibrating, and stratifying explained the process of sociomaterial change and that this process is governed by an overarching principle of “performative exigency”. Future studies on sociomateriality and change may benefit from a deeper understanding of how sociomaterial assemblages are rendered performative

Interconnecting Governments, Businesses and Citizens – A Comparison of Two Digital Infrastructures

Part 2: Services and InteroperabilityInternational audiencePublic and private organizations in various areas are setting up digital Information Infrastructures (IIs) for interconnecting government, businesses and citizens. IIs can create value by sharing and integrating data of multiple actors. This can be the basis for value added services and especially collaborations of public and private partners can make IIs thrive. Easier access to integrated services and products (jointly) offered by government and businesses may stimulate transparency and innovations. IIs are under development in many domains, including for open data and international trade. However, there are notable differences in the design, characteristics and implementation of the IIs. The objective of this paper is to compare two diverse IIs in order to obtain a better understanding of common and differing elements in the IIs and their impact. Among the differences are the roles of government, businesses and users, in driving, developing and exploitation of the IIs

A design theory for e-service environments: The interoperability challenge

The delivery of e-services across organizational boundaries poses a number of issues in terms of design of inter-organizational systems that support service delivery effectively. In this context interoperability emerges as a mandatory requirement for the design of Information Technology (IT) platforms supporting collaborative e-service environments. In this paper we address this issue by presenting a design theory for IT platforms supporting e-services based on both a deep understanding of the interoperability concept and a design research approach. Through the analysis of a cooperation framework developed in the context of an EU funded project, we instantiate the theory by providing the concrete example of a solution addressing this design problem. © 2012 Springer-Verlag GmbH Berlin Heidelberg.The delivery of e-services across organizational boundaries poses a number of issues in terms of design of inter-organizational systems that support service delivery effectively. In this context interoperability emerges as a mandatory requirement for the design of Information Technology (IT) platforms supporting collaborative e-service environments. In this paper we address this issue by presenting a design theory for IT platforms supporting e-services based on both a deep understanding of the interoperability concept and a design research approach. Through the analysis of a cooperation framework developed in the context of an EU funded project, we instantiate the theory by providing the concrete example of a solution addressing this design problem. © 2012 Springer-Verlag GmbH Berlin Heidelberg.Monograph's chapter

Implementing Open Network Technologies in Complex Work Practices: A Case from Telemedicine

New non-desktop technologies may turn out to be of a more open and generic nature than traditional information technologies. These technologies consequently pose novel challenges to systems development practice, as the design, implementation, and use of these technologies will be different. This paper presents empirical material from a project where multimedia technology was introduced into a complex medical work practice (surgery). The implementation process is analyzed at the micro-level and the process is found to be highly complex, emergent, and continuous. Using actor-network theory, we argue that conceptualizing the process as cultivating the hybrid collectif of humans and non-humans, technologies and non-technologies (Callon and Law 1995) is a suitable and useful approach. This concept may capture the open-ended and emergent nature of the process and indicate the suitability of an evolutionary approach

The challenges of implementing packaged hospital electronic prescribing and medicine administration systems in UK hospitals: premature purchase of immature solutions?

The UK National Health Service is making major efforts to implement Hospital Electronic Prescribing and Medicine Administration (HEPMA) to improve patient safety and quality of care. Substantial public investments have attracted a wide range of UK and overseas suppliers offering Commercial-Off –The-Shelf (COTS) solutions. A lack of (UK) implementation experience and weak supplier-user relationships are reflected in systems with limited configurability, poorly matched to the needs and practices of English hospitals. This situation echoes the history of comparable corporate information infrastructures - Enterprise Resource Planning systems - in the 1980s/1990s. UK government intervention prompted a similar swarming of immature, often unfinished, products into the market. This resulted, in both cases, in protracted and difficult implementation processes as vendors and adopters struggled to get the systems to work and match the circumstances of the adopting organisations. An analysis of the influence of the Installed Base on Information Infrastructures should explore how the evolution of COTS solutions is conditioned by the structure of adopter and vendor ‘communities’

Computing the everyday: social media as data platforms

We conceive social media platforms as sociotechnical entities that variously shape user platform involvement and participation. Such shaping develops along three fundamental data operations that we subsume under the terms of encoding, aggregation, and computation. Encoding entails the engineering of user platform participation along narrow and standardized activity types (e.g., tagging, liking, sharing, following). This heavily scripted platform participation serves as the basis for the procurement of discrete and calculable data tokens that are possible to aggregate and, subsequently, compute in a variety of ways. We expose these operations by investigating a social media platform for shopping. We contribute to the current debate on social media and digital platforms by describing social media as posttransactional spaces that are predominantly concerned with charting and profiling the online predispositions, habits, and opinions of their user base. Such an orientation sets social media platforms apart from other forms of mediating online interaction. In social media, we claim, platform participation is driven toward an endless online conversation that delivers the data footprint through which a computed sociality is made the source of value creation and monetization