Abstract

Organizations implementing government mandated technology (GMT) often encounter significant implementation challenges, yet empirical research on effective strategies remains limited. While regulatory compliance may drive initial deployment, organizations frequently struggle with end-user resistance, integration into existing workflows, and determining when mandated systems have been institutionalized. These challenges appear particularly pronounced in highly distributed organizations where coordination across multiple sites complicates standardized implementation efforts. This study investigates how a highly distributed Health Services organization (HSO, Inc.) navigated GMT implementation through the Technology, Organization, and Environment framework, modified to address the unique dynamics of government-mandated technology adoption. Employing a retrospective case study design with an engaged scholarship approach, the research examines co-creation strategies to overcome implementation barriers across distributed operations. The findings reveal effective co-creation strategies addressing common barriers, including structured feedback mechanisms and phased rollout approaches.

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