Achieving digital-driven patient agility in the era of big data

There is still a limited understanding of the necessary skill, talent, and expertise to manage digital technologies as a crucial enabler of the hospitals ability to adequately sense and respond to patient needs and wishes, i.e., patient agility. Therefore, this investigates how hospital departments can leverage a digital dy-namic capability to enable the departments patient agility. This study embraces the dynamic capabilities theory, develops a research model, and tests it accordingly using data from 90 clinical hospital departments from the Netherlands through an online survey. The model's hypothesized relationships are tested using structural equation modeling (SEM). The outcomes demonstrate the significance of digital dynamic capability in developing patient sensing and responding capabili-ties that, in turn, positively influence patient service performance. Outcomes are very relevant for the hospital practice now, as hospitals worldwide need to trans-form healthcare delivery processes using digital technologies and increase clinical productivity.Comment: 13 pages, 1 figure, The 20th IFIP Conference e-Business, e-Services, and e-Society I3E2021. arXiv admin note: text overlap with arXiv:2105.0901

How EA-Driven Dynamic Capabilities Enable Agility: The Mediating Role of Digital Project Benefits

As the modern business environment is highly volatile and demanding, orchestrating all business and IT components and capabilities are crucial. Firms use enterprise architecture (EA) for this purpose. However, it is currently by no means clear how EA-driven firm capabilities facilitate becoming agile. When firms are agile, they can recombine digital resources to change the business practice while also coping with uncertainty and recovering rapidly from disruption through innovative digital technologies. This study embraces the dynamic capability view (DCV), develops a model, and validates the associated hypotheses using cross-sectional data from 177 firms using a Partial Least Squares approach. The outcomes show that EA-driven dynamic capabilities are a crucial antecedent of digital project benefits. In turn, these benefits positively enhance agility. The findings shed light on becoming agile, and this study providing insights and guidance on achieving the EA-driven benefits

Enterprise Architecture Resources, Dynamic Capabilities, and their Pathways to Operational Value

The strategic role of Enterprise Architecture (EA) in deploying and managing information technology (IT) and business resources has a longstanding research tradition. In this particular domain falls the literature on EA-based capabilities and their contribution to organizational benefits. This study conceptualizes and defines EA-based capabilities, following the dynamic capabilities view (DCV), and proposes a research model that tries to explain how dynamic enterprise architecture capabilities enable operational capabilities within firms. Data is collected from 299 CIO’s and IT managers to test hypotheses associated with the research model. The findings show that dynamic enterprise architecture capabilities enhance operational capabilities and the firms’ EA resources are essential in the development of dynamic enterprise architecture capabilities. This study advances our understanding of how to efficaciously delineate dynamic enterprise architecture capabilities in enabling operational capabilities, and thus, the firm’s living in the present, as a foundation to enhance competitive firm performance

How a flexible collaboration infrastructure impacts healthcare information exchange

Exchanging health information and data is considered to be critical for modern hospital operations. Research shows that exchanging, e.g., laboratory results, clinical summaries, and medication lists, across the boundaries of hospitals, will improve the efficiency, quality, cost- effectiveness, and even safety of healthcare practices. However, views and strategies differ on how hospitals can facilitate or enable this exchange process, given the high dynamics of technology and IT developments. We explore a hypothesized relationship between a flexible collaboration infrastructure and health information and data exchange. This study builds on the resource-based view of the firm and subsequently tests two hypotheses using PLS-SEM analysis on a sample of 983 European hospitals. We find that there is a significant positive relationship between flexible collaboration infrastructures and health information and data exchange. Hospitals’ security measures to protect the confidentiality, integrity, and availability of the data conditions this relationship

PACS integrated situational alignment framework: a quantitative approach for successful PACS alignment and performance assessment in hospitals

Hospitals are investing in Information Technology and Information Systems in order to improve their processes and workflow and hence, to optimize patient care. Picture Archiving and Communications Systems (PACS) have seen gradual uptake in hospitals to achieve this goal. PACS implementations and the consecutive expansion and integration with the Electronic Patient Record requires massive investments and cultural changes by hospital (clinical) staff prior and during organizational adoption. It is therefore essential that these systems are aligned properly with the hospital operations. Alignment approaches for PACS implementations and appropriate assessment methods have been underexposed in scientific literature. In this paper, we propose the PACS integrated situational alignment (PISA) Framework, a theoretical framework that is designed for the continuous assessment, monitoring, successful alignment of PACS, and performance measures for PACS deployment in the hospital enterprise. In addition, we set out a research agenda to elaborate on this elementary topic

The impact of IT human capability and IT flexibility on IT-enabled dynamic capabilities

By conducting moderation mediation analyses, we investigate how IT human capability (ITHC) and IT flexibility—independently and jointly—influence the formation of IT-enabled dynamic capabilities (ITDC). In this paper, we also analyze the influence of different environmental conditions on the relationship between ITHC and ITDC. We do so by empirically testing the constructed model on a dataset of 97 international firms, using the PROCESS technique. We draw upon the dynamic capabilities view and modular system theory, which emphasize the need for a firm to develop ITDC to respond to changes. Currently, there is a gap in the literature concerning the role of ITHC on the formation of ITDC. Our results show that there is a positive effect of ITHC and IT flexibility on the formation of ITDC. Hence, organizations should invest in their ITHC and IT flexibility to address the rapidly changing business environment