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IT Infrastructure Capability and Health Information Exchange: The Moderating Role of Electronic Medical Records’ Reach

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Business Information Systems Workshops (BIS 2018)

Part of the book series: Lecture Notes in Business Information Processing ((LNBIP,volume 339))

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Abstract

This research investigates the hypothesized relationship between a hospital’s IT infrastructure capability and the degree to which hospital can exchange health information. Enhanced information exchange within and between hospitals is currently considered to be critical for modern hospital operations in the big data era. In this research, we build on the resource-based view of the firm to position the deployment and usage of IT capabilities as a unique, valuable, appropriable and difficult-to-imitate resource of value for hospitals. Following the resource-based view of the firm, this study argues IT is a strategic source of value for hospitals. Guided by our research model we test two related hypotheses using Partial least squares (PLS)-based Structural Equation Modeling (SEM) on a large-scale cross-sectional dataset of 1155 European hospitals. Results show that IT infrastructure capability is a crucial antecedent of health information exchange. Finally, we found that the degree to which hospitals deploy hospital-wide systems that electronically maintain and share health data and information, i.e., Electronic Medical Records, influences the strength of this particular relationship. These particular findings suggest that although IT investments in hospitals continue to grow, IT plans and strategies to enable health information exchange will require ongoing attention. Hence, our research provides valuable insights into how IT can be targetted and exploited to support capabilities in clinical practice. Specifically, we demonstrate the conditions under which hospitals can leverage their IT resources to enhance levels of patient and health information exchange within the hospital and beyond its boundaries.

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Notes

  1. 1.

    And thus also the associated IT-related investments.

  2. 2.

    The survey is accessible through: https://ec.europa.eu/digital-single-market/en/news/european-hospital-survey-benchmarking-deployment-ehealth-services-2012-2013.

  3. 3.

    Composite reliability is similar to Cronbach’s alpha without the assumption of the equal weighting of variables.

  4. 4.

    At the 5% probability of error level.

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Authors and Affiliations

  1. Faculty of Management, Science and Technology, Open University of the Netherlands, Valkenburgerweg 177, 6419 AT, Heerlen, The Netherlands

    Rogier van de Wetering

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  1. Rogier van de Wetering
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Correspondence to Rogier van de Wetering .

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Editors and Affiliations

  1. Poznań University of Economics and Business, Poznań, Poland

    Witold Abramowicz

  2. Fraunhofer FOKUS, Berlin, Berlin, Germany

    Adrian Paschke

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van de Wetering, R. (2019). IT Infrastructure Capability and Health Information Exchange: The Moderating Role of Electronic Medical Records’ Reach. In: Abramowicz, W., Paschke, A. (eds) Business Information Systems Workshops. BIS 2018. Lecture Notes in Business Information Processing, vol 339. Springer, Cham. https://doi.org/10.1007/978-3-030-04849-5_35

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  • DOI: https://doi.org/10.1007/978-3-030-04849-5_35

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  • Online ISBN: 978-3-030-04849-5

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