A Real “Killer” Application? Organization-system Misfits of the Danish Health Platform

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review


Packaged software applications such as electronic health records (EHRs) incorporate certain norms that are likely to make them an imperfect fit outside the context of their origin. This teaching case deals with the Danish Health Platform, one of the largest implementations of the EHR system Epic outside the US and a case of unabated public debate. We unfold the case from the perspectives of five individuals concerned with this system: two doctors, an IT manager, a medical secretary, and a nurse. Based on empirical material provided with this teaching case, students are asked to apply Strong and Volkoff’s (2010) organization-system fit framework and decide whether emerging misfits can be classified as either deficiencies or impositions. This analytical work not only allows students to critically reflect on organization-system fit as a device for understanding IT-enabled organizational change; it also invites a discussion of theoretical extensions of this analytical framework.
Original languageEnglish
Title of host publicationProceedings of the 41st International Conference on Information Systems (ICIS)
EditorsJoey George, Souren Paul, Rahul De', Elena Karahanna, Suprateek Sarker, Gal Oestreicher-Singer
Number of pages15
Place of PublicationAtlanta, GA
PublisherAssociation for Information Systems. AIS Electronic Library (AISeL)
Publication date2020
Article number2077
Publication statusPublished - 2020
EventThe 41st International Conference on Information Systems: ICIS 2020: ICIS 2020 – Making Digital Inclusive: Blending the Local and the Global - Virtual
Duration: 13 Dec 202016 Dec 2020
Conference number: 41


ConferenceThe 41st International Conference on Information Systems: ICIS 2020
Internet address
SeriesProceedings of the International Conference on Information Systems


  • Electronic health records
  • Organization-system fit
  • Healthcare information systems
  • IT-enabled organizational change
  • Digital health

Cite this