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Motivations underlying the adoption of ERP systems in healthcare organizations: Insights from online stories

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Abstract

To face their changing environment, a growing number of healthcare institutions are investing in ERP systems as their basic technological infrastructure, highlighting a phenomenon that recalls the earlier popularity of the ERP movement in the manufacturing and financial sectors. Based on the analysis of 180 stories published on ERP vendors’ websites, the primary aim of this study is to identify, characterize and contextualize the motivations that lead to the adoption of these systems in healthcare organizations. Our findings first indicate that these motivations can be classified into six broad categories, namely technological, managerial-operational, managerial-strategic, clinical-operational, clinical-strategic, and financial. Moreover, three clusters of healthcare organizations were identified with regard to these motivations, and labelled as taking a “business”, “clinical” or “institutional” view of ERP adoption decisions. Given the specificities of IT adoption in the healthcare sector, the importance of these results from a theoretical standpoint lies in filling a knowledge gap in both the ERP and health IT research domains. From a practical standpoint, these results are of interest for policy makers and healthcare managers that must deal with continuous increases in healthcare costs and major demographic changes, and thus need to improve the efficiency and quality of healthcare services provided to patients through IT-based innovations.

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References

  • Akkermans, H., & van Helden, K. (2002). Vicious and virtuous cycles in ERP implementation: A case study of interrelations between critical success factors. European Journal of Information Systems, 11, 35–46.

    Article  Google Scholar 

  • Allen, D., Kern, T., & Havenhand, M. (2002). “ERP critical success factors: An exploration of the contextual factors in public sector institutions”, Proceedings of the 35th Hawaii International Conference on System Sciences.

  • Anderson, J. G. (1997). Clearing the way for physicians’ use of clinical information systems. Communications of the ACM, 40(8), 83–90.

    Article  Google Scholar 

  • Ashkenas, R., Ulrich, D., Jick, T., & Kerr, S. (1995). The boundaryless organization. San Francisco: Jossey-Bass.

    Google Scholar 

  • Bahensky, J., Jaana, M., & Ward, M. (2008). Health care information technology in rural America: Electronic medical record adoption status in meeting the national agenda. The Journal of Rural Health, 24(2), 101–105.

    Article  Google Scholar 

  • Baskerville, R. L., & Myers, M. D. (2009). Fashion waves in information systems research and practice. MIS Quarterly, 33(4), 647–662.

    Google Scholar 

  • Birkinshaw, J. M., Hamel, G., & Mol, M. (2008). Management innovation. Academy of Management Review, 33(4), 825–845.

    Article  Google Scholar 

  • Blick, G., Gulledge, T., & Sommer, R. (2000). “Defining business process requirements for large scale public sector ERP implementations: A case study”, Proceedings of the European Conference on Information Systems. Wien: Wirtschafts Universität.

    Google Scholar 

  • Boonstra, A., & Govers, M. (2009). Understanding ERP system implementation in a hospital by analysing stakeholders. New Technology, Work and Employment, 24(2), 177–193.

    Article  Google Scholar 

  • Brown, M. M., & Brudney, J. L. (1998). Public sector information technology initiatives: Implications for programs of public administration. Administration & Society, 30(4), 421–442.

    Article  Google Scholar 

  • Caldas, M. P., &Wood Jr. T. “How consultants can help organizations survive the ERP frenzy”, Academy of Management Annual Meeting, Chicago, August 6–11, 1999, http://www.gv.br/prof_alunos/thomaz/ingles/paper6.tm.

  • Chang, S. I., Gable, G., Smythe, E., & Timbrell, G. (2000). “A Delphi examination of public sector ERP implementation issues”, Proceedings of the Twenty First International Conference on Information Systems, Brisbane, Queensland, Australia, pp. 494–500.

  • Chiasson, M. W., & Davidson, E. (2005). Taking industry seriously in information systems research. MIS Quarterly, 29(4), 591–605.

    Google Scholar 

  • Davenport, T. (1998). Putting the enterprise into the enterprise system. Harvard Business Review, 76(4), 121–132.

    Google Scholar 

  • DiMaggio, P. J., & Powell, W. W. (1983). The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American Sociological Review, 48, 147–160.

    Article  Google Scholar 

  • Dorobek, C. J. “ERP: It’s not dead yet”, Federal Computer Week, June 11, 2001, http://www.fcw.com/fcw/articles/2001/0611/tec-erp06-11-01.asp.

  • Goroll, A. H., Simon, S. R., Tripathi, M., Ascenzo, C., & Bates, D. W. (2009). Community-wide implementation of health information technology: The Massachusetts eHealth collaborative experience. Journal of the American Medical Informatics Association, 16(1), 132–139.

    Article  Google Scholar 

  • Heintze, T., & Bretschneider, S. (2000). Information technology and restructuring in public organizations: Does adoption of information technology affect organizational structures, communications, and decision making? Journal of Public Administration Research and Theory, 10(4), 801–830.

    Article  Google Scholar 

  • Hikmet, N., Bhattacherjee, A., Menachemi, N., Kayhan, V. O., & Brooks, R. G. (2008). The role of organizational factors in the adoption of healthcare information technologies in hospitals. Healthcare Management Science, 11(1), 1–9.

    Article  Google Scholar 

  • Huq, Z., & Martin, T. N. (2006). The recovery of BPR implementation through an ERP approach: A hospital case study. Business Process Management Journal, 12(5), 576–587.

    Article  Google Scholar 

  • Information Base for Progress. (2006). Health information technology in the United States, http://www.rwjf.org/files/publications/other/EHRReport0609.pdf.

  • Jaana, M., Tamim, H., Paré, G., & Teitelbaum, M. (2011). Key IT management issues in hospitals: Results from a Delphi study in Canada. International Journal of Medical Informatics, 80(12), 828–840.

    Article  Google Scholar 

  • Jeyaraj, A., Rottman, J. W., & Lacity, M. C. (2006). A review of the predictors, linkages, and biases in IT innovation adoption research. Journal of Information Technology, 21(1), 1–23.

    Article  Google Scholar 

  • Kumar, V., & van Hillegersberg, J. (2000). ERP experiences and evolution. Communications of the ACM, 43(4), 23–26.

    Article  Google Scholar 

  • Marbert, V. A., Soni, A., & Venkataramanan, M. A. (2000). Enterprise resource planning survey of U.S. manufacturing firms. Production and Inventory Management Journal, 41(2), 52–58.

    Google Scholar 

  • Marbert, V. A., Soni, A., & Venkataramanan, M. A. (2001). Enterprise resource planning: Measuring value. Production and Inventory Management Journal, 42(3/4), 46–51.

    Google Scholar 

  • MarketsandMarkets. (2009). “Healthcare information technology systems market to be worth $53.8 billion by 2014”, http://www.marketsandmarkets.com/PressReleases/healthcare-information-technology-systems-market-worth-53.8-billion-by-2014.asp.

  • Markus, L. M., & Tanis, C. (2000). The enterprise system experience: From adoption to success. In R. W. Zmud (Ed.), Framing the domain of IT management: Projecting the future…through the past (pp. 173–207). Cincinnati: Pinnaflex Education Resources.

    Google Scholar 

  • McCullough, J. S. (2008). The adoption of hospital information systems. Health Economics, 17, 649–664.

    Article  Google Scholar 

  • McGinnis, S. K., Pumphrey, L. D., Trimmer, K. J., & Wiggins, C. (2004). A case study in IT innovation in a small, rural community hospital. Research in Healthcare Financial Management, 9(10), 9–21.

    Google Scholar 

  • Menold, N. (2008). How to use information technology for cooperative work: Development of shared technological frames. Computer Supported Cooperative Work, 18(1), 47–81.

    Article  Google Scholar 

  • Oliver, D., & Romm, C. (2000). “Enterprise resources planning: The route to adoption”, Proceedings of the 6th Americas Conference on Information Systems, Long Beach, California.

  • Oliver, D., & Romm, C. (2002). Justifying enterprise resource planning adoption. Journal of Information Technology, 17, 199–213.

    Article  Google Scholar 

  • Paré, G., Jaana, M., & Sicotte, C. (2010). Exploring health information technology innovativeness and its antecedents in Canadian hospitals. Methods of Information in Medicine, 49(1), 28–36.

    Google Scholar 

  • Parr, A. N., & Shanks, G. (2000). “A taxonomy of ERP implementation approaches”, Proceedings of the 33rd Hawaii International Conference on System Sciences.

  • Rahim, M., Shanks, G., & Johnston, R. “Understanding IOS adoption processes in a first-tier automotive supplier company: An application of the theory of IOS adoption motivation”, Proceedings of the 14th European Conference on Information Systems, Paper 11, 2006, http://aisel.aisnet.org/ecis2006/11.

  • Raju, P. S., & Lonial, S. C. (2002). The impact of service quality and marketing on financial performance in the hospital industry: An empirical examination. Journal of Retailing and Consumer Services, 9(6), 335–348.

    Article  Google Scholar 

  • Ramsey, E., Ibbotson, P., & McCole, P. (2008). Factors that impact technology innovation adoption among Irish professional service sector SMEs. International Journal of Innovation Management, 12(14), 1–26.

    Google Scholar 

  • Raymond, L., Uwizeyemungu, S., & Bergeron, F. (2006). Motivations to implement ERP in e-government: An analysis from success stories. Electronic Government, 3(3), 225–240.

    Article  Google Scholar 

  • Robert Wood Johnson Foundation. (2006). Health information technology in the United States: The information base for progress, http://www.rwjf.org/files/publications/other/HERReport0609.pdf (last accessed June 14, 2011).

  • Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free.

    Google Scholar 

  • Ross, J. W., & Vitale, M. R. (2000). The ERP revolution: Surviving vs. thriving. Information Systems Frontiers, 2(2), 233–241.

    Article  Google Scholar 

  • Scavo, F. “The enterprise system spectator: ERP market on the rebound”, http://fscavo.blogspot.com/2004/05/erp-market-on-rebound.html (last accessed on June 14, 2011).

  • Seddon, P. B., Calvert, C., & Yang, S. (2010). A multi-project model of key factors affecting organizational benefits from enterprise systems. MIS Quarterly, 34(2), 305–328.

    Google Scholar 

  • Shang, S., & Seddon, P. B. (2000). “A comprehensive framework for classifying the benefits of ERP systems”, Proceedings of the 6th Americas Conference on Information Systems, Long Beach, California.

  • Smith, S. P., Rahim, M. M., Shanks, G., & Johnston, R. B. (2008). How organization goals affect interorganization system implementation projects: Evidence and implications. Asia Pacific Management Review, 13(3), 567–581.

    Google Scholar 

  • Son, J. Y., & Benbasat, I. (2007). Organizational buyers’ adoption and use of B2B electronic marketplaces: Efficiency- and legitimacy-oriented perspectives. Journal of Management Information Systems, 24(1), 55–99.

    Article  Google Scholar 

  • Stefanou, C. J., & Revanoglou, A. (2006). ERP integration in a healthcare environment: A case study. Journal of Enterprise Information Management, 19(1), 115–130.

    Article  Google Scholar 

  • Tornatsky, L., & Fleischer, M. (1990). The processes of technological innovation. New York: Lexington Books.

    Google Scholar 

  • Trudel, M. C., Paré, G., & Laflamme, J. (2012). Health information technology success and the art of being mindful: Preliminary insights from a comparative case study analysis. Health Care Management Review, 37(1), 31–42.

    Article  Google Scholar 

  • Tsiknakis, M., & Kouroubali, A. (2009). Organizational factors affecting successful adoption of innovative eHealth services: A case study employing the FITT framework. International Journal of Medical Informatics, 78(1), 39–52.

    Article  Google Scholar 

  • Tsikriktsis, N., Lanzolla, G., & Frohlich, M. (2004). Adoption of e-processes by service firms: An empirical study of antecedents. Production and Operations Management, 13(3), 216–229.

    Article  Google Scholar 

  • Uwizeyemungu, S., & Raymond, L. (2009). Exploring an alternative method of evaluating the effects of ERP: A multiple case study. Journal of Information Technology, 24(3), 251–268.

    Article  Google Scholar 

  • Venkatesh, V., Davis, F. D., & Morris, M. G. (2007). Dead or alive? the development, trajectory, and future of technology adoption research. Journal of the Association for Information Systems, 8(4), 267–286.

    Google Scholar 

  • Wagner, E. L., & Newell, S. (2006). Repairing ERP: Producing social order to create a working information system. The Journal of Applied Behavioral Science, 42(1), 40–57.

    Article  Google Scholar 

  • World Bank. (2000). “Understanding organizational reforms: The corporatization of public hospitals”, HNP discussion paper.

  • Yin, R. K., & Heald, K. A. (1975). Using the case survey method to analyze policy studies. Administrative Science Quarterly, 20(3), 371–381.

    Article  Google Scholar 

  • Zhang, T., Ramakrishnon, R., & Livny, M. (1996). “BIRCH: An efficient data clustering method for very large databases”, Proceedings of the ACM SIGMOD Conference on Management of Data., Montreal, pp. 103–114.

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Authors and Affiliations

  1. Université du Québec à Montréal, 315, rue Ste-Catherine Est, Montréal, Québec, Canada, H2X 3X2

    Placide Poba-Nzaou

  2. Université du Québec à Trois-Rivières, 3351, boul. des Forges C.P. 500, Trois-Rivières, Québec, Canada, G9A 5H7

    Sylvestre Uwizeyemungu & Louis Raymond

  3. HEC Montréal, 3000 Côte-Ste-Catherine Road, Montreal, Quebec, Canada, H3T 2A7

    Guy Paré

Authors
  1. Placide Poba-Nzaou
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  2. Sylvestre Uwizeyemungu
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  3. Louis Raymond
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  4. Guy Paré
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Correspondence to Louis Raymond.

Appendix

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Table 12 List of healthcare organizations in the sample
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Poba-Nzaou, P., Uwizeyemungu, S., Raymond, L. et al. Motivations underlying the adoption of ERP systems in healthcare organizations: Insights from online stories. Inf Syst Front 16, 591–605 (2014). https://doi.org/10.1007/s10796-012-9361-1

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