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Technological Change At Work: The Impact Of Employee Involvement On The Effectiveness Of Health Information Technology, Adam Seth Litwin
Technological Change At Work: The Impact Of Employee Involvement On The Effectiveness Of Health Information Technology, Adam Seth Litwin
Adam Seth Litwin
The link between employee involvement (El) and organizational performance is not clear-cut, and the diffusion of information technology (IT) in the workplace complicates this relationship. The author argues that new technologies offer an important avenue by which El can improve hrm performance. He also contends that those studies that do consider El in the context of technological change may be focusing exclusively on workplace-level features of the employment relationship, ignoring variation in functional- and strategic-level aspects of employment relations. To test this hypothesis, he uses Kaiser Permanente Northwest Region’s patient scheduling module as an exemplar to investigate the extent to …
Measurement Error In Performance Studies Of Health Information Technology: Lessons From The Management Literature, Adam Seth Litwin, Ariel Avgar, Peter Pronovost
Measurement Error In Performance Studies Of Health Information Technology: Lessons From The Management Literature, Adam Seth Litwin, Ariel Avgar, Peter Pronovost
Adam Seth Litwin
Just as researchers and clinicians struggle to pin down the benefits attendant to health information technology (IT), management scholars have long labored to identify the performance effects arising from new technologies and from other organizational innovations, namely the reorganization of work and the devolution of decision-making authority. This paper applies lessons from that literature to theorize the likely sources of measurement error that yield the weak statistical relationship between measures of health IT and various performance outcomes. In so doing, it complements the evaluation literature’s more conceptual examination of health IT’s limited performance impact. The paper focuses on seven issues, …
Explaining The Health Information Technology Paradox, Ariel Avgar, Adam Seth Litwin
Explaining The Health Information Technology Paradox, Ariel Avgar, Adam Seth Litwin
Adam Seth Litwin
Excerpt] The substantial gap between the promise inherent in upgrading information systems in health care and the documented reality has baffled health care scholars. Why is a technology so clearly capable of creating efficiencies, increasing safety, and promoting greater information sharing and coordination across professionals failing to live up to expectations?
Drivers And Barriers In Health It Adoption: A Proposed Framework, Ariel Avgar, Adam Seth Litwin, Peter Pronovost
Drivers And Barriers In Health It Adoption: A Proposed Framework, Ariel Avgar, Adam Seth Litwin, Peter Pronovost
Adam Seth Litwin
Despite near (and rare) consensus that the adoption and diffusion of health information technology (health IT) will bolster outcomes for organizations, individuals, and the healthcare system as a whole, there has been surprisingly little consideration of the structures and processes within organizations that might drive the adoption and effective use of the technology. Management research provides a useful lens through which to analyze both the determinants of investment and the benefits that can ultimately be derived from these investments. This paper provides a conceptual framework for understanding health IT adoption. In doing so, this paper highlights specific organizational barriers or …