Factors relating to effectiveness data use in healthcare management

How technological innovations in performance measurement systems overcome management challenges in healthcare

Purpose

The aim of this paper is to analyse how technological innovations in performance measurement systems make it possible to overcome some of the challenges that public healthcare organizations face where management and control are concerned. The changes that could be applied to the performance measurement system of healthcare organisations were analysed together with an evaluation of the responses developed in order to achieve these changes.

Design/methodology/approach

The paper contains an in-depth case-study of a public university hospital which utilises an innovative information system.

Findings

The case-study highlights how technological innovations in performance measurement systems impact the management and monitoring information system in a public university hospital, through the implementation of a multidimensional management dashboard.

Research limitations/implications

The limitation of this paper is that only one case-study is analysed, albeit in depth, while it would be interesting to consider more public university hospitals.

Practical implications

The paper highlights the fundamental role of middle management in change processes in the healthcare sector.

Originality/value

The case-study highlights how critical the active involvement of middle management is in performance measurement and management, and how this is achieved thanks to the adoption of a simple, clear method which ensures comprehensible communication of the objectives, as well as the measurement of performance by means of radar plots.

Translating technological change – implementing technology into a hospital

Purpose

The purpose of this paper is to understand how changes in technological devices, implemented to increase productivity and enhance performance are translated by medical professions in their clinical work. As organizations become more technology dependent by digitalization, deeper understanding of change processes will enhance change outcomes.

Design/methodology/approach

A case study based on interviews, observations, on site and document analyses is undertaken to study the use of electronic speech recognizer (SR). An actor network theory (ANT) approach is used to address practice.

Findings

Doctors diversely adjust to the new technology. The use of the SR technology was negotiated and translated by the doctors. The technology was continuously re-designed and interacting with the human actors. In the translation process, powerful actors (doctors) influence outcome of changes, and thus, they affect the effectiveness of the change initiatives.

Research limitations/implications

The theoretical approach enables a detailed and rich understanding of the sociology of technology. Future research should go deeper into case studies in other contexts.

Practical implications

Technology is not deterministic entities, and politicians and managers should pay attention to how technology interact with key actors in implementation of system (technology) changes. The design and use phases implicate on the effect of such changes.

Social implications

In order to successfully manage change processes, powerful actors should be motivated to actively participate in the design and the implementation phases in order to design and redesign the functions and roles of technologies.

Originality/value

The theoretical approach (ANT) addresses technology according to the concept of sociomateriality. This approach enables understanding technology, people and organizations as entangled (integrated). The theoretical concepts developed knowledge to gain deeper and wider understanding of the role of technology in managing of performance and productivity initiatives.

A Contingency Approach to the Strategic Management of Intangible Resources

Not with standing the increasing awareness of the importance of intangible resources for the success of organisations, there is a paucity of research investigating the impact of contingent factors on the strategic management of such resources. This research therefore aims to address this issue by investigating the contingencies which come into play in hospital organisations. It does so by using a case study approach to examine the impact of industry-specific and organisation-specific factors on management activities. It was found that factors such as task complexity and staff profile play a significant role in regulated management contexts making the adjustment of existing approaches an indispensable task for general managers who aim to achieve sustainable competitive advantage. The paper contributes to various disciplines. For example, it contributes to the literature on resource management, by proposing a framework for the effective management of intangible resources in the light of the impact of contingent factors.