Carla Wiggins

ERP implementation in rural health care

Enterprise resource planning (ERP) systems provide organizations with the opportunity to integrate individual, functionally-oriented information systems. Although much of the focus in the popular press has been placed on ERP systems in large for-profit organizations, small hospitals and clinics are candidates for ERP systems. Focusing information systems on critical success factors (CSFs) allows the organization to address a limited number of areas associated with performance. This limited number of factors can provide management with an insight into dimensions of information that must be addressed by a system. Focuses on CSFs for small health-care organizations. In addition, also considers factors critical to the implementation of health-care information systems. Presents two cases. The results indicate support for the continuing use of CSFs to help focus on the benefits of ERPs. Focusing on groups of tangible and intangible benefits can also assist the rural health-care organization in the use of ERPs.

Electronic Medical Records: TAM, UTAUT, and Culture

Many policymakers, industry experts, and medical practitioners contend that the U.S. health care system—in both the public and private sectors—is in crisis. Among the numerous policy issues associated with the provision of US healthcare is the call for increased adoption and use of health care information technology (HIT) to address structural inefficiencies and care quality issues [11, p. 33]. This paper reports the first steps in a multi-phased research effort into Electronic Medical Records system adoption. The first two phases of our research applies the Unified Theory of Acceptance and Use of Technology as a lens to interpret the responses of physicians completing their Residency in Family Medicine and the third phase examines the role of organizational culture as a critical variable for effective strategy implementation in the same setting.

Sustaining and extending organization strategy via information technology governance

This paper summarizes commonly accepted theories of corporate governance and extends them to information technology governance in United States (US) hospitals. It goes on to argue that currently accepted theories of governance may not apply in rural US hospital settings. Rather, this work posits that governance is a pattern of social relations integrating organizational activities. This position is supported in the adjoining case study examining a small, rural US hospitals use of coordination and collaboration to integrate IT activities and to align IT strategy and functions with corporate strategy. Thus, contrary to the dominant paradigms of hierarchy, power, and resource based governance, coordination can provide an effective mechanism for information technology governance.

IT Adoption and Evaluation in Healthcare: Evolutions and Insights in Theory, Methodology, and Practice

This article focuses on the evolution of theory, methodology, and practice regarding the role of adoption, implementation, diffusion, and evaluation factors, and the interaction of these factors at various levels, to healthcare system success. These topics continue to present challenges to organizations, the research community, and to society in general. The first place that new waves of thought are often aired is at conferences. This article explores the evolution taking place in this domain by looking back through the years over work presented at the longest standing conference track focused on adoption, implementation, diffusion, and evaluation factors in e-health and the interaction of these factors at various levels to healthcare system success.

Electronic Medical Records Use An Examination of Resident Physician Intentions

Between 1992 and 2002, overall health care spending rose from

Prior Experience and Physicians Intentions to Adopt EMR

827 billion to about

Gender interactions and success

1.6 trillion; it is projected to nearly double to

Entrepreneurial Governance in a Rural Family Practice Residency Program

3.1 trillion in the following decade. This price tag results, in part, from advances in expensive medical technology, including new drug therapies, and the increased use of high-cost services and procedures. Many policymakers, industry experts, and medical practitioners contend that the U.S. health care system-in both the public and private sectors-is in crisis. Efforts are underway to convert all medical records from paper to electronic. This manuscript uses the unified theory of acceptance and use of technology as a lens to interpret the responses of physicians completing their residency in family medicine regarding use and adoption of electronic medical record systems (EMR).

Entrepreneurial IT Governance: Electronic Medical Records in Rural Healthcare

Electronic Medical Records (EMR) are expected to increase efficiency, quality of care, and patient safety, yet most studies find that fewer than 25% of hospitals and physicians have adopted them. Theories posit that prior experience with EMR in medical school and residency programs will lead to greater acceptance of EMR among physicians. This work explores the potential relationship between prior experience and adoption of EMR technology among physicians.

Introduction to IT Adoption and Evaluation in Healthcare Minitrack

Does gender by itself, or does genders interaction with career variables, better explain the difference between women and mens careers in healthcare management? US healthcare managers were surveyed regarding career and personal experiences. Gender was statistically interacted with explanatory variables. Multiple regression with backwards selection systematically removed non-significant variables. All gender interaction variables were non-significant. Much of the literature proposes that work and career factors impact working women differently than working men. We find that while gender alone is a significant predictor of income, it does not significantly interact with other career variables.