Healthcare information systems design: Using a strategic improvisation model.

Abstract

As globally governments start to move forward with regard to their respective healthcare reform policies, the role for HIS (healthcare information systems) will become ever more critical in the attainment of healthcare-value strategies. This in turn places pressure to hospitals to identify appropriate and superior design strategies. Drawing on the research pertaining to improvisation and IS design, a model of strategic improvisation is proffered as suitable in the context of HIS design. Multiple case study data from Singapore and the United States – countries with different and distinctive healthcare systems – are presented to illustrate the benefits of such an approach.