Opening the Black Box: Measuring Hospital Information Technology Capability

Abstract: Recently, health care investment in information technology (IT) has experienced a significant increase. Paralleling this increase has been an increase in IT capabilities. Despite the interest in and promises of IT in the health care setting, there is a paucity of empirical research that has attempted to define an organizational measure of IT capability. The dearth of research has contributed to the traditional belief that IT is perceived as a "black box," whereby organizational resources enter the box as "inputs" and are somehow transformed into positive outcomes for an organization. However, for positive outcomes to be realized, these outcomes must be measurable. This research uses a stakeholder perspective to develop a theoretically specified measure of IT capability. A latent construct, IT munificence, is proposed using tenets from diffusion of innovation theory and strategic contingency theory. The construct is tested using a sample of 1,545 acute care hospitals located in the United States. IT munificence fits the study data well, supporting the hypothesis that IT munificence represents a strategy of hospital IT capability.

[1]  Mark L. Diana,et al.  Exploring Hospitals' Adoption of Information Technology , 2002, Journal of Medical Systems.

[2]  E. Rogers,et al.  Diffusion of innovations , 1964, Encyclopedia of Sport Management.

[3]  J. Grossman,et al.  Crossing the Quality Chasm , 2005 .

[4]  Lawton Robert Burns,et al.  Institutional and Economic Influences on the Adoption and Extensiveness of Managerial Innovation in Hospitals: The Case of Reengineering , 2001, Medical care research and review : MCRR.

[5]  Gareth R. Jones,et al.  The role of information technology in the organization: a review, model, and assessment , 2001 .

[6]  Bharat A. Jain,et al.  Predicting Hospital Innovativeness: An exploration of the perceived organisational context , 2000 .

[7]  L H Friedman,et al.  The Timing of Medical Technology Acquisition: Strategic Decision Making in Turbulent Environments , 2000, Journal of healthcare management / American College of Healthcare Executives.

[8]  Richard L. Daft,et al.  Essentials of Organization Theory and Design , 2000 .

[9]  S Dorenfest,et al.  The decade of the '90s. Poor use of IT investment contributes to the growing healthcare crisis. , 2000, Healthcare informatics : the business magazine for information and communication systems.

[10]  Rajiv Kohli,et al.  Information Technology Payoff in the Health-Care Industry: A Longitudinal Study , 2000, J. Manag. Inf. Syst..

[11]  Robert J. Kauffman,et al.  Discovering Potential and Realizing Value from Information Technology Investments , 2000, J. Manag. Inf. Syst..

[12]  Nirup M. Menon,et al.  Information Technology Value through Different Normative Lenses , 2000, J. Manag. Inf. Syst..

[13]  W Raghupathi,et al.  Strategic uses of information technology in health care: a state-of-the-art survey. , 1999, Topics in health information management.

[14]  C L Neumann,et al.  Achieving success: assessing the role of and building a business case for technology in healthcare. , 1999, Frontiers of health services management.

[15]  G J Kuperman,et al.  A randomized trial of a computer-based intervention to reduce utilization of redundant laboratory tests. , 1999, The American journal of medicine.

[16]  L. Richard Ye,et al.  Information technology and firm performance: Linking with environmental, strategic and managerial contexts , 1999, Inf. Manag..

[17]  L. Odorisio,et al.  Transforming the HIM department into a strategic resource. , 1998, Healthcare financial management : journal of the Healthcare Financial Management Association.

[18]  J K Tan,et al.  Designing health care information systems for integrated delivery systems: where we are and where we need to be. , 1998, Topics in health information management.

[19]  S. Boxerman,et al.  Information Systems for Health Services Administration, 5th Edition , 1997 .

[20]  Joan S. Ash,et al.  Organizational factors that influence information technology diffusion in academic health sciences centers. , 1997, Journal of the American Medical Informatics Association : JAMIA.

[21]  Andrew B. Whinston,et al.  The Calculus of Reengineering , 1996, Inf. Syst. Res..

[22]  A. Hillman,et al.  Hospital adoption of medical technology: an empirical test of alternative models. , 1995, Health services research.

[23]  George C. Canavos,et al.  An introduction to modern business statistics , 1993 .

[24]  S. Shortell,et al.  Health Care Organizations and the Development of the Strategic Management Perspective , 1990 .

[25]  W. J. Harvey,et al.  Information Systems for Health Services Administration , 1988 .

[26]  C. Hardy.  Organizations: Rational, Natural and Open Systems , 1983 .