Analyzing an ES Implementation in a Health Care Environment

2009 ◽  
pp. 274-286
Author(s):  
Albert Boonstra
Keyword(s):  
Health Care ◽  
Organizational Change ◽  
Change Process ◽  
Delivery Of Health Care ◽  
Present Moment ◽  
Health Care Environment ◽  
Care Environment ◽  
Process Of Change ◽  
Integrated Delivery

At the present moment, many hospitals are going through a process of change directed at the integrated delivery of health care. Enterprise Systems (ES) are increasingly used to support this process and to manage hospitals on a coherent basis. We also know, however, that ES implementation itself, can be viewed as an organizational change process that affects many stakeholders. For that reason it is relevant to study how ES implementation takes place within hospitals and how it tends to impact the existing organizational arrangements. The purpose of this chapter is therefore to describe and analyze how ES implementation within a hospital affects the interests of stakeholders and which specific problems may arise as a result. This chapter uses the evidence of a case study to reveal some important dimensions of the organizational change issues related to ES implementation within hospitals.

Analyzing an ES Implementation in a Health Care Environment

2011 ◽  
pp. 1656-1668
Author(s):  
Albert Boonstra
Keyword(s):  
Health Care ◽  
Organizational Change ◽  
Change Process ◽  
Delivery Of Health Care ◽  
Present Moment ◽  
Health Care Environment ◽  
Care Environment ◽  
Process Of Change ◽  
Integrated Delivery

At the present moment, many hospitals are going through a process of change directed at the integrated delivery of health care. Enterprise Systems (ES) are increasingly used to support this process and to manage hospitals on a coherent basis. We also know, however, that ES implementation itself, can be viewed as an organizational change process that affects many stakeholders. For that reason it is relevant to study how ES implementation takes place within hospitals and how it tends to impact the existing organizational arrangements. The purpose of this chapter is therefore to describe and analyze how ES implementation within a hospital affects the interests of stakeholders and which specific problems may arise as a result. This chapter uses the evidence of a case study to reveal some important dimensions of the organizational change issues related to ES implementation within hospitals.

The Conundrum of Charitability: Reassessing Tax Exemption For Hospitals

1990 ◽  
Vol 16 (3) ◽  
pp. 327-380
Author(s):  
David A. Hyman
Keyword(s):  
Health Care ◽  
Fundamental Problem ◽  
Health Care Environment ◽  
Care Environment ◽  
Sharp Focus ◽  
The Right ◽  
Do The Right Thing

Tax exemption is an ancient, honorable and expensive tradition. Tax exemption for hospitals is all of these three, but it also places in sharp focus a fundamental problem with tax exemption in general. Organizations can retain their tax exemption while changing circumstances or expectations undermine the rationale that led to the exemption in the first place. Hospitals are perhaps the best example of this problem. The dramatic changes in the health care environment have eliminated most of the characteristics of a hospital that originally persuaded the citizenry to grant it an exemption. Hospitals have entered into competition with tax-paying businesses, and have increasingly behaved like competitive actors. Such conduct may well be beneficial, but it does not follow that tax exemption is appropriate. Rather than an undifferentiated subsidy, a shift to focused goals will provide charitable hospitals with the opportunity and incentive to “do the right thing.”

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