Revenue Cycle Management in the Wake of EMR Implementation: A Competing Logics Perspective

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dc.contributor.authorSingh, Rajendra
dc.contributor.authorDurcikova, Alexandra
dc.contributor.authorMathiassen, Lars
dc.date.accessioned2020-12-24T19:45:19Z
dc.date.available2020-12-24T19:45:19Z
dc.date.issued2021-01-05
dc.description.abstractThe health information technology (HIT) literature has focused on how healthcare organizations use electronic medical record (EMR) systems and other clinical IT for care delivery and coordination. However, few studies have examined how implementation of these technologies impact the organizations’ revenue cycle management (RCM) and consequent financial sustainability. Against that backdrop, we draw on institutional logics perspective to analyze experiences from two action research engagements that leveraged EMR implementations in medical clinics to improve RCM. As a result, we identify four coexisting yet competing logics—logic of care, logic of business, logic of management, and logic of technology—that shaped how the clinics addressed challenges in their revenue cycle. While IT transformed practices and information exchanges, the competing logics shaped the clinics’ RCM in the wake of their EMR implementation. We conclude with contributions to research and practice.
dc.format.extent10 pages
dc.identifier.doi10.24251/HICSS.2021.444
dc.identifier.isbn978-0-9981331-4-0
dc.identifier.urihttp://hdl.handle.net/10125/71060
dc.language.isoEnglish
dc.relation.ispartofProceedings of the 54th Hawaii International Conference on System Sciences
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectIT Adoption, Diffusion, and Evaluation in Healthcare
dc.subjectcompeting logics
dc.subjecthealth it
dc.subjectinstitutional logics perspective
dc.subjectmedical practice
dc.subjectrevenue cycle management
dc.titleRevenue Cycle Management in the Wake of EMR Implementation: A Competing Logics Perspective
prism.startingpage3664

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