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Home > Journals > Affiliated Journals > JITTA > Vol. 19 (2018) > Iss. 2

 

Journal of Information Technology Theory and Application (JITTA)

Abstract

In reaction to the productivity challenges faced by hospital around the globe, some hospitals have begun to move towards a process-oriented organization of care in order to enhance productivity. Existing research on hospital-wide process reengineering emphasizes severe challenges along the implementation process. Against this background, the purpose of this case study is to explain how hospitals can be successfully reorganized in a process-oriented way. We conducted an exploratory single case study with semi-structured, face-to-face interviews and document analyses as our primary data collection methods. We develop a theoretical framework of antecedents, interventions, enablers, barriers, and consequences that explain the trajectory of this successful hospital reengineering project. Our contribution is a substantive theory on which other researchers can build and can extend in future studies. Given the small number of documented cases of hospital-wide process orientation, this case represents an extreme or unique case that is worth analysing. Consequently, we were able to identify factors that have not been discussed in the extant literature (e.g., black-boxing of diagnosis and treatment activities as an enabler and inflexible healthcare IT as a barrier to the implementation of process-orientation).

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