Say Yen Teoh
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Abstract
Pressured by escalating costs, continual demand for high quality, and the speed of technological advances, the need for change and improvisation has become a critical priority for the healthcare industry. Now society demands that healthcare providers offer better patient care through the careful use of information technologies. For that, practitioners are urged to expand the boundaries of innovative IS design strategies. Unfortunately, research on healthcare information systems (HIS) improvisation remains relatively underdeveloped. Thus, this study uses the organizational improvisation and bricolage theoretical lenses, from the perspective of a case study, to examine how strategic improvisation might give rise to fruitful HIS novel design performances. Theoretically, we provide an inductively derived strategic conceptual model of improvisation that couples with network, structure, and institutional bricolage to execute a 'resource-time-effort' model. This enables us to improvise a superior HIS that offers quality patient-centric healthcare delivery and a valuable improvisation model. Professionally, this study contributes three key insights for IS improvisation in the healthcare industry.
- Aktas, E. Ulengin, E. and Onsel Sahin, S. (2007). A decision support system to improve the efficiency of resource allocation in healthcare management. Socio-Economic Planning Sciences, 41, 130--146.Google Scholar
Cross Ref
- Alexandra Hospital (2009). "Alexandra Hospital--about us". Retrieved 10 April, 2009, from http://www.alexhosp.com.sg/index.php/about_us/our_historyGoogle Scholar
- Anderson, G.F., Frogner, B.K., Johns, R.A. and Reinhardt, U.E. (2006). Health Care Spending and Use of Information Technology, in OECD Countries, Health Affairs, 25(3), 819--831.Google ScholarCross Ref
- Arora, V., Ward, K. and Petter, S. (2010). The Role of Information Systems to Support Improvisation during Emergencies. Mid-West AIS 2010 Proceedings. http://aisel.aisnet.org/mwais2010/11.Google Scholar
- Ash, J. S. Berg, M. and Coiera, E. (2004). Some unintended consequences of information technology in health care: the nature of patient care information system-related errors, Journal of American Medical Informatics Association,, 11, 104--112.Google ScholarCross Ref
- Augier, M. Shariq, S.Z. and Vendelo, M.T. (2001). Understanding the context: its emergence, transformation and role in tacit knowledge sharing,, Journal of Knowledge Management 5, 125--136Google ScholarCross Ref
- Baker, T. and Nelson, R.E. (2005). Creating something from nothing: Resource construction through entrepreneurial bricolage. Administrative Science Quarterly 50, 329--366.Google ScholarCross Ref
- Baker, T. Miner, A.S. and Eesley, D.T. (2003). Improvising Firms: Bricolage, Account Giving and Improvisational Competencies in the Founding Process. Research Policy, 32, 255--276.Google ScholarCross Ref
- Bansler, J.P. and Havn, E.C. (2010). Pilot Implementation of Health Information Systems: Issues and Challenges. International Journal of Medical Informatics, 79, 637--648.Google ScholarCross Ref
- Bardach, N., Huang, J., Brand, R. and Hsu (2009). Evolving health information technology and the timely availability of visit diagnosis from ambulatory visits: A natural experiment in an integrated delivery care system, BMC Medical Informatics and Decision Making, 9 (1), 35.Google ScholarCross Ref
- Barnes, S.J. (2001). Experiences in Strategic Information Systems Implementation in UK Healthcare, in R. Stegwee and TAM Spil (eds) Strategies for healthcare information systems, IGI Publishing, 11--30. Google ScholarDigital Library
- Barrett, F. (1998). Creativity and improvisation in jazz and organizations: Implications for organizational learning. Organizational Science, 9(5), 543--555. Google ScholarDigital Library
- Bates, D.W. (2002). The quality case for information technology in healthcare, BMC Medical Informatics and Decision Making 2(7), 35--40.Google Scholar
- Bernstein, M.L., McCreless, T. and Cote, M.J. (2007). Five Constants of Information Technology Adoption in Healthcare, Hospital Topics, 85 (1), 17--25.Google ScholarCross Ref
- Bodenheimer, T. (2005). High and Rising Health Care Costs. Part 2: Technologic Innovation, Annals of Internal Medicine, 142 (11), 932--937.Google Scholar
- Brown, S. L. and Eisenhardt, K.M. (1995). Product development: Past research, present findings, and future directions. Academy of Management Review, 20, 343--378.Google ScholarCross Ref
- Burner, E. (1993). Epilogue: Creative persona and the problem of authenticity. In S. Lavie, K. Narayan, and R. Rosaldo (eds), Creativity/Anthropology. New York, Cornell University Press: Ithaca.Google Scholar
- Castro, D. (2007). Improving Health Care: Why a Dose of IT May Be Just What the Doctor Ordered, The Information Technology and Innovation Foundation, Washington, DC. pp. 1--23.Google Scholar
- Chan, ML, Hackney, R. and Pan, SL. (2011). Managing e-Government Systems Implementation: A Resource Enactment Perspective. European Journal Information Systems, 20, 529--541.Google ScholarCross Ref
- Ciborra, C. (1999). Notes on Improvisations and Time in Organisations, Accounting. Management and Information Technologies, 9, 77--94.Google ScholarCross Ref
- Ciborra, C. (2002). The labyrinths of information: Challenging the wisdom of systems. Oxford, Oxford University Press.Google Scholar
- Cleaver, F. (2003). Reinventing institutions: Bricolage and the social embeddedness of natural resource management. In T.A. Benjaminsen and C. Lund (eds) Securing Land Rights in Africa, London, Frank Cass, 11--30.Google Scholar
- Crossan, M. (1997). Improvise to innovate. Ivey Business Journal, 62, 36--42.Google Scholar
- Crossan, M. Cunha, M.P. Vera, D. and Cunha, J.V. (2005). Time and organisational improvisation Academy of Management Review 30, 129--145.Google Scholar
- Crossan, M. and Sorrenti, M. (1997). Making Sense of Improvisation, Advances in Strategic Management, 14, 155--180.Google Scholar
- Cunha, J, Cunha, M., and Cunha, R. (2000). Improvisation and Learning: Soulmates or just friends? in Innovative Theories, Tools and Practices in Work and Organizational Psychology. M. Vartiainen, F. Avallone and N. Anderson (eds). 307--320. Seattle, WA Hogrefe and Huber.Google Scholar
- Cunha, M.P. Cunha J.V. and Clegg, S.R. (2009). Improvisation bricolage: a practice-based approach to strategy and foresight. In: Costanzo, L.A. and MacKay, R.B. (eds), Handbook of research on strategy and foresight. Edward Elgar Publishing, New York, 182--199.Google Scholar
- Cunha, M.P. Cunha, J.V. and Kamoche, K. (1999). Organisational Improvisation: What, When, How and Why. International Journal of Management Reviews, 1, 299--341.Google ScholarCross Ref
- Detmer, D.E. (2000). Information technology for quality health care: A summary of United Kingdom and United States experiences, Quality in Healthcare Care, 9 (3), 181--189.Google ScholarCross Ref
- Duymedjian, R. and Ruling, C-C. (2010). Towards a foundation of bricolage in organisation and management theory. Organisation Studies, 31, 133--151.Google ScholarCross Ref
- Eisenhardt, K.M. and Martin, J.A. (2000). Dynamic Capabilities: What are they? Strategic Management Journal, 21, 11005--11021.Google ScholarCross Ref
- Eisenhardt, K.M. (1989a). Making fast strategic decision in high-velocity environments. Academy Management of Journal, 32(3) 543--576.Google Scholar
- Eisenhardt, K.M. (1989b). Building theories from case study research. Academy of Management Review, 14, 534--550.Google ScholarCross Ref
- Ferneley, E. and Bell, F. (2006). Using bricolage to integrate business and information technology innovation in SMEs. Technovation, 26, 232--241.Google ScholarCross Ref
- Garud R. and Karnoe P. (2003). Bricolage versus breakthrough: distributed and embedded agency in technology entrepreneurship. Research Policy, 32, 277--300.Google ScholarCross Ref
- Heeks, R. (2006). Health Information Systems: Failure, Success and Improvisation. International Journal of Medical Informatics, 75, 125--137.Google ScholarCross Ref
- Helfat, E., Constance, A. and Peteraf, M. (2003). The Dynamic Resource-Based View: Capability Lifecycles. Strategic Management Journal, 24, 997--1010.Google ScholarCross Ref
- Innes, J.E. and Booher, D.E. (1999). Consensus Building as Role Playing and Bricolage: Toward a Theory of Collaborative Planning, Journal of the American Planning Association. 65, 9--26.Google ScholarCross Ref
- Kamoche, K. Cunha, M.P. and Cunha, J.V. (2003). Towards a Theory of Organisational Improvisation: Looking Beyond the Jazz Metaphor. Journal of Management Studies, 40, 2023--2051.Google ScholarCross Ref
- Kelly, H., Chiasson, M., Downey, A. and Pacaud, D. (2011). The Clinical Impact of eHealth on the Self-Management of Diabetes: A Double Adoption, Journal of the Association for Information Systems, 12(Special Issue), 208--234.Google ScholarCross Ref
- Klein, H. and Myers, M. (1999). A Set of Principles for Conducting and Evaluating Interpretive Field Studies in Information Systems. MIS Quarterly, 23, 67--94. Google ScholarDigital Library
- Lau, F. Doze, S. Vincent D. Wilson, D. Noseworthy, T. Hayward, R. and Penn, A. (1999). Patterns of improvisation for evidence-based practice in clinical settings. Information Technology and People, 12, 287--303Google ScholarCross Ref
- Lawson, B. and Samson, D. (2001). Developing innovation capability in organisations: A dynamic capabilities approach. International Journal of Innovation Management, 5, 377--400.Google ScholarCross Ref
- Langley, A. (1999). Strategies for theorizing from process data. Academy of Management Review 24, 691--710.Levi-Strauss, C. (1966) The savage mind. Oxford, Oxford University Press.Google ScholarCross Ref
- Lee, A.S. and Baskerville, R.I. (2003). Generalizing Generalizability in Information Systems Research, Information Systems Research, 14(3), 221--243. Google ScholarDigital Library
- McKnight, B. and Bontis, N. (2002). E-Improvisation: Collaborative Groupware Technology Expands the Reach and Effectiveness of Organizational Improvisation. Knowledge and Process Management, 9, 219--227.Google ScholarCross Ref
- Mechanic, D. (2010). Replicating high-quality medical care organisations, Journal of American Medical Association, 303, 555--556.Google ScholarCross Ref
- Miner, A.S., Bassoff, P. and Moorman, C. (2001). Organisational improvisation and learning: a field study. Administrative Science Quarterly, 21, 246--275.Google Scholar
- Mintzberg, H. (1994). The Rise and Fall of Strategic Planning. Free Press. New York.Google Scholar
- Montealegre, R. (2002). A Process Model of Capability Development: Lessons from the Electronic Commerce Strategy at Bolsa de Valores de Guayaquil. Organisation Science, 13, 514--531. Google ScholarDigital Library
- Moorman, C. and Miner, A.S. (1998). The convergence of planning and execution: improvisation in new product development. Journal of Marketing, 62, 1--20.Google ScholarCross Ref
- Oliver, J. (2009). Creativity as Openness: Improvising Health and Care Situations. Health Care Analysis, 17, 318--330.Google ScholarCross Ref
- Overby, E. Bharadwaj, A. and Sambamurthy, V. (2006). Enterprise Agility and the Enabling Role of Information Technology. European Journal of Information Systems, 15, 120--131. Google ScholarDigital Library
- Pan, S.L., Pan, G., Chen, JW. and Hsieh, M-H. (2007). The Dynamics of Implementing and Managing Modularity of Organizational Routines during Capability Development: Insights from a Process Model? IEEE Transactions on Engineering Management. 54(4), 800--813.Google ScholarCross Ref
- Pan, S.L., Pan, G. and Hsieh, M.H. (2006). A Dual-Level Analysis of the Capability Development Process: A Case Study of TT&T, Journal of the American Society for Information Science and Technology, 57, 1814--1829. Google ScholarDigital Library
- Pan, S.L. and Tan, B.C.C. (2011). Demystifying Case Research: A Structured-Pragmatic-Situational (SPS) Approach for Conducting Case Research. Information and Organization, 21, 161--176. Google ScholarDigital Library
- Payton, F., Pare, G., LeRouge, C. and Reddy, M (2011). Health Care IT: Perspective, Process, People, Patients and Interdisciplinary Considerations, Journal of the Association for Information Systems, 12 (Special Issue), 1--13.Google ScholarCross Ref
- Pentland, B.T. (1999). Building process theory with narrative: From Description to Explanation. Academy of Management Review, 24, 711--724Google ScholarCross Ref
- Pollock, T.G., Porac, J.G. and Wade, J.B. (2004). The external control of organizations, classic. (ed.) Stanford, CA, Stanford University Press.Google Scholar
- Poolton, J. and Ismail. H. (2000). New developments in innovation. Journal of Managerial Psychology 13, 795--811.Google ScholarCross Ref
- Pratt, M.G. (2009). From the Editors: For the Lack of a Boilerplate: Tips on Writing up (and reviewing) Qualitative Research. Academy of Management Journal, 52, 856--862.Google ScholarCross Ref
- Silva, L.O. and Hirschheim, R. (2007). Fighting Against Windmills: Strategic Information Systems and Organisational Deep Structures, Special Issue on Information Systems in Developing Countries. MIS Quarterly, 31(2), 327--354. Google ScholarDigital Library
- Sirmon, D.G., Hitt, M.A. and Ireland, R.D. (2007). Managing Firm Resources in Dynamic Environments to Create Value: Looking Inside the Black Box. Academy of Management Review, 32, 273--292.Google ScholarCross Ref
- Strauss, C.L. (1967). The Savage Mind. Chicago, University of Chicago Press.Google Scholar
- Tan, B. Pan, S. Chou, T. and Huang, S. (2010). Enabling Agility through Routinized Improvisation in IT Deployment: The Case of Chang Chun Petrochemicals, International Conference on Information Systems ICIS 2010 "Information Technology: Gateway to the Future", St. Louis, United States, 15th December 2010.Google Scholar
- Teoh, S.Y. (2010). Competency and Capability Development Process: An SME Enterprise System Upgrade and Implementation. Journal of Information Technology Management, 21, 36--50.Google Scholar
- Teoh, S.Y., Pan, S-L. and Ramchand, A.M. (2010). Resource Management Activities in Healthcare Information Systems: A Process Perspective. Information Systems Frontiers, Viewed on Nov 2010, http://www.springerlink.com/content/n42l26508352515g/fulltext.pdf Google ScholarDigital Library
- Tyrell, S. (2002). Using Information and Com- munication Technology in Healthcare, Oxford, Radcliffe Medical Press.Google Scholar
- Vendelo, M.T. (2009). Improvisation and Learning in Organisations: An Opportunity for Future Empirical Research. Management Learning, 40, 449--456.Google ScholarCross Ref
- Vera, D. and Crossan, M. (2005). Improvisation and innovative performance in teams. Organisation Science, 16,203--224 Google ScholarDigital Library
- Walsham, G. (1995). Interpretive case studies in IS research: Nature and Method. European Journal of Information Systems, 4, 74--81.Google ScholarCross Ref
- Walsham, G. (2006). Doing Interpretive Research. European Journal of Information Systems, 15, 320--330.Google ScholarCross Ref
- Weick, K.E. (1998). Improvisation as a mindset for organisational analysis, Organisation Science, 9, 357--381. Google ScholarDigital Library
- Wickramasinghe N., Bali R.K. and Geisler E. (2007). The major barriers and facilitators for the adoption and implementation of knowledge management in healthcare operations, International Journal of Electronic Healthcare, 3, 367--381.Google ScholarCross Ref
- Wickramasinghe N., Bali R.K. and Gibbons M.C. (2009). A Systematic Approach: Optimization of Healthcare Operations with Knowledge Management. Journal of Healthcare Information Management, 23, 44--50.Google Scholar
- Zheng, Y., Venters, W. and Cornford, T. (2010). Collective agility, paradox and organizational improvisation: the development of a particle physics grid. Information Systems Journal, 10.1111/j.1365-2575.2010.0036.Google Scholar
Index Terms
- A bricolage perspective on healthcare information systems design: an improvisation model
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