How Organizational Path Constitution Prepares Digital Infrastructure Innovation: A Case Study of Integrated Care

We investigate the organizational processes that predate digital infrastructure innovation in health care. These processes are important because the diffusion of digital infrastructures is problematic in many health care settings around the world. However, our study allows decision makers to understand how organizations can become forerunners in the area of digital infrastructures even in rigid institutional environments where powerful barriers to the diffusion are in place. In order to make these points, we combine theories on organizational path constitution and digital infrastructure innovation and apply them to a case study of a health care provider establishing novel processes in the area of "chronic obstructive pulmonary disease" (COPD) care.