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

Till J. Winkler; Simon Krogh; Ursula Plesner; Lise Justesen; Tina Blegind Jensen

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

Till J. Winkler, Simon Krogh, Ursula Plesner, Lise Justesen, Tina Blegind Jensen

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

Abstract

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 language	English
Title of host publication	Proceedings of the 41st International Conference on Information Systems (ICIS)
Editors	Joey George, Souren Paul, Rahul De', Elena Karahanna, Suprateek Sarker, Gal Oestreicher-Singer
Number of pages	15
Place of Publication	Atlanta, GA
Publisher	Association for Information Systems. AIS Electronic Library (AISeL)
Publication date	2020
Article number	2077
Publication status	Published - 2020
Event	The 41st International Conference on Information Systems: ICIS 2020: ICIS 2020 – Making Digital Inclusive: Blending the Local and the Global - Virtual Duration: 13 Dec 2020 → 16 Dec 2020 Conference number: 41 https://icis2020.aisconferences.org/

Conference

Conference	The 41st International Conference on Information Systems: ICIS 2020
Number	41
Location	Virtual
Period	13/12/2020 → 16/12/2020
Internet address	https://icis2020.aisconferences.org/

Series	Proceedings of the International Conference on Information Systems
ISSN	0000-0033

Keywords

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

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Winkler, T. J., Krogh, S., Plesner, U., Justesen, L., & Jensen, T. B. (2020). A Real “Killer” Application? Organization-system Misfits of the Danish Health Platform. In J. George, S. Paul, R. De', E. Karahanna, S. Sarker, & G. Oestreicher-Singer (Eds.), Proceedings of the 41st International Conference on Information Systems (ICIS) Article 2077 Association for Information Systems. AIS Electronic Library (AISeL). https://aisel.aisnet.org/cgi/viewcontent.cgi?article=1123&context=icis2020

Winkler, Till J. ; Krogh, Simon ; Plesner, Ursula et al. / A Real “Killer” Application? Organization-system Misfits of the Danish Health Platform. Proceedings of the 41st International Conference on Information Systems (ICIS). editor / Joey George ; Souren Paul ; Rahul De' ; Elena Karahanna ; Suprateek Sarker ; Gal Oestreicher-Singer. Atlanta, GA : Association for Information Systems. AIS Electronic Library (AISeL), 2020. (Proceedings of the International Conference on Information Systems).

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title = "A Real “Killer” Application?: Organization-system Misfits of the Danish Health Platform",

abstract = "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{\textquoteright}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.",

keywords = "Electronic health records, Organization-system fit, Healthcare information systems, IT-enabled organizational change, Digital health, Electronic health records, Organization-system fit, Healthcare information systems, IT-enabled organizational change, Digital health",

author = "Winkler, {Till J.} and Simon Krogh and Ursula Plesner and Lise Justesen and Jensen, {Tina Blegind}",

year = "2020",

language = "English",

series = "Proceedings of the International Conference on Information Systems",

editor = "George, {Joey } and Paul, {Souren } and De', {Rahul } and Karahanna, {Elena } and Sarker, {Suprateek } and Oestreicher-Singer, {Gal }",

booktitle = "Proceedings of the 41st International Conference on Information Systems (ICIS)",

publisher = "Association for Information Systems. AIS Electronic Library (AISeL)",

note = "The 41st International Conference on Information Systems: ICIS 2020 ; Conference date: 13-12-2020 Through 16-12-2020",

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Winkler, TJ , Krogh, S , Plesner, U , Justesen, L & Jensen, TB 2020, A Real “Killer” Application? Organization-system Misfits of the Danish Health Platform. in J George, S Paul, R De', E Karahanna, S Sarker & G Oestreicher-Singer (eds), Proceedings of the 41st International Conference on Information Systems (ICIS)., 2077, Association for Information Systems. AIS Electronic Library (AISeL), Atlanta, GA, Proceedings of the International Conference on Information Systems, The 41st International Conference on Information Systems: ICIS 2020, 13/12/2020. <https://aisel.aisnet.org/cgi/viewcontent.cgi?article=1123&context=icis2020>

A Real “Killer” Application? Organization-system Misfits of the Danish Health Platform. / Winkler, Till J.; Krogh, Simon ; Plesner, Ursula et al.
Proceedings of the 41st International Conference on Information Systems (ICIS). ed. / Joey George; Souren Paul; Rahul De'; Elena Karahanna; Suprateek Sarker; Gal Oestreicher-Singer. Atlanta, GA: Association for Information Systems. AIS Electronic Library (AISeL), 2020. 2077 (Proceedings of the International Conference on Information Systems).

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

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T1 - A Real “Killer” Application?

T2 - The 41st International Conference on Information Systems: ICIS 2020

AU - Winkler, Till J.

AU - Krogh, Simon

AU - Plesner, Ursula

AU - Justesen, Lise

AU - Jensen, Tina Blegind

N1 - Conference code: 41

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N2 - 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.

AB - 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.

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KW - IT-enabled organizational change

KW - Digital health

M3 - Article in proceedings

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BT - Proceedings of the 41st International Conference on Information Systems (ICIS)

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A2 - Paul, Souren

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PB - Association for Information Systems. AIS Electronic Library (AISeL)

CY - Atlanta, GA

Y2 - 13 December 2020 through 16 December 2020

ER -

Winkler TJ , Krogh S , Plesner U , Justesen L , Jensen TB. A Real “Killer” Application? Organization-system Misfits of the Danish Health Platform. In George J, Paul S, De' R, Karahanna E, Sarker S, Oestreicher-Singer G, editors, Proceedings of the 41st International Conference on Information Systems (ICIS). Atlanta, GA: Association for Information Systems. AIS Electronic Library (AISeL). 2020. 2077. (Proceedings of the International Conference on Information Systems).