Malin Nordström

Exploring the Characteristics of Information Systems Maintenance : Defining Focus and Content through Objects

The purpose of this paper is to explore the characteristics of information systems (IS) maintenance within an IT and organizational setting. We discuss the characteristics of maintenance objects’ focus and content. Our results are based on qualitative case studies. In this paper a case study of a Swedish Bank is used to illustrate our discussion. Our findings show that maintenance objects can be defined by processes and/or functions or products and/or services within an organizational setting. This is done in order to increase a business perspective in maintenance management and to clarify roles of responsibility for organizational changes required from new IT capabilities. According to our findings maintenance objects can contain business solutions and IT solutions. This implies that business beneficial maintenance is supported by close cooperation between actors from the organizational setting and the IT organization. The result of the paper is a characterization of IS maintenance through definition of maintenance objects’ focus and content.

Conflicting Institutional Logics in Healthcare Organisations: Implications for IT Governance

IT governance is a challenging area in healthcare organisations. Healthcare organisations are under pressure to transform and make use of new information technologies in order to be more effective and serve a growing number of patients. Healthcare IT implementation projects typically involve multiple stakeholders whose ideas and images of processes and results can differ severely. In this case study, at a large Swedish hospital, we investigate how different institutional logics conflict and interplay in a Health IT project and what this implies for IT governance. Our research questions are (i) How do institutional logics influence IT project activities and interactions? (ii) What implications have an institutional logics perspective for IT governance in healthcare organisations? Institutionalised views of different stakeholders may enable or slow down IT development and implementation. We have identified four logics affecting actions and interactions in the studied project which are; medical logic, management logic, IT function logic and vendor logic. The institutional logics perspective contributes to important understanding on complexities in Health IT projects and guidance on how to overcome complications providing important implications for IT governance.