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.
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.
Ashkenas, R., Ulrich, D., Jick, T., & Kerr, S. (1995). The boundaryless organization. San Francisco: Jossey-Bass.
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.
Baskerville, R. L., & Myers, M. D. (2009). Fashion waves in information systems research and practice. MIS Quarterly, 33(4), 647–662.
Birkinshaw, J. M., Hamel, G., & Mol, M. (2008). Management innovation. Academy of Management Review, 33(4), 825–845.
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.
Boonstra, A., & Govers, M. (2009). Understanding ERP system implementation in a hospital by analysing stakeholders. New Technology, Work and Employment, 24(2), 177–193.
Brown, M. M., & Brudney, J. L. (1998). Public sector information technology initiatives: Implications for programs of public administration. Administration & Society, 30(4), 421–442.
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.
Davenport, T. (1998). Putting the enterprise into the enterprise system. Harvard Business Review, 76(4), 121–132.
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.
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.
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.
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.
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.
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.
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.
Kumar, V., & van Hillegersberg, J. (2000). ERP experiences and evolution. Communications of the ACM, 43(4), 23–26.
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.
Marbert, V. A., Soni, A., & Venkataramanan, M. A. (2001). Enterprise resource planning: Measuring value. Production and Inventory Management Journal, 42(3/4), 46–51.
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.
McCullough, J. S. (2008). The adoption of hospital information systems. Health Economics, 17, 649–664.
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.
Menold, N. (2008). How to use information technology for cooperative work: Development of shared technological frames. Computer Supported Cooperative Work, 18(1), 47–81.
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.
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.
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.
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.
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.
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.
Ross, J. W., & Vitale, M. R. (2000). The ERP revolution: Surviving vs. thriving. Information Systems Frontiers, 2(2), 233–241.
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.
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.
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.
Stefanou, C. J., & Revanoglou, A. (2006). ERP integration in a healthcare environment: A case study. Journal of Enterprise Information Management, 19(1), 115–130.
Tornatsky, L., & Fleischer, M. (1990). The processes of technological innovation. New York: Lexington Books.
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.
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.
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.
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.
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.
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.
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.
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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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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DOI: https://doi.org/10.1007/s10796-012-9361-1