Abstract:Researchers and practitioners seem to agree on the importance of boards of directors engaging in IT governance. Yet, only a minority of boards around the globe are taking up accountability for governing IT, pointing towards a knowing-doing gap. Efforts have been made to close this gap by creating implementation guidelines for this type of engagement. One of the most frequently mentioned guidelines is the implementation of an IT oversight or similar committee at board level. However, research shows that few boa… Show more
“…The pervasive use of IT as a crucial support for the sustainability and growth of business, creates a critical dependency on IT that demands for a specific focus on IT governance [7,17,18]. The digitalization of healthcare has been laden with difficulties in the past [19].…”
Section: It Governance and Ambidexteritymentioning
IT Governance is advocated as a necessary prerequisite for effective digitalization by research and practice alike. Despite this, there are but few studies of IT Governance in the healthcare sector, and even fewer on the enactment of IT Governance. This paper reports on a comparative case study of a Swedish and Ugandan setting on the enactment of ambidextrous IT governance within healthcare. Ambidextrous IT Governance is perceived as governance designed to balance targets of efficiency and innovation, and the study is informed by the resource orchestration logic. The findings show a set of challenges and opportunities in both settings such as complexity in the sharing of information in the Swedish setting and the possibility to leapfrog in the Ugandan. Furthermore, the ambidextrous balancing point and aspired shift differed significantly between the two settings, where the Ugandan setting wanted to rebalance toward exploitation and the Swedish setting toward exploration. The paper concludes with a discussion and a call for future research on ambidextrous IT Governance.
“…The pervasive use of IT as a crucial support for the sustainability and growth of business, creates a critical dependency on IT that demands for a specific focus on IT governance [7,17,18]. The digitalization of healthcare has been laden with difficulties in the past [19].…”
Section: It Governance and Ambidexteritymentioning
IT Governance is advocated as a necessary prerequisite for effective digitalization by research and practice alike. Despite this, there are but few studies of IT Governance in the healthcare sector, and even fewer on the enactment of IT Governance. This paper reports on a comparative case study of a Swedish and Ugandan setting on the enactment of ambidextrous IT governance within healthcare. Ambidextrous IT Governance is perceived as governance designed to balance targets of efficiency and innovation, and the study is informed by the resource orchestration logic. The findings show a set of challenges and opportunities in both settings such as complexity in the sharing of information in the Swedish setting and the possibility to leapfrog in the Ugandan. Furthermore, the ambidextrous balancing point and aspired shift differed significantly between the two settings, where the Ugandan setting wanted to rebalance toward exploitation and the Swedish setting toward exploration. The paper concludes with a discussion and a call for future research on ambidextrous IT Governance.
“…The aforementioned critical dependency on IT calls for effective IT governance, across the organization as well as at board level [15]. Organizations with wellgoverned IT, through an improved IT capability, demonstrate a higher firm performance [10], [16].…”
Section: Literature Reviewmentioning
confidence: 99%
“…Organizations with wellgoverned IT, through an improved IT capability, demonstrate a higher firm performance [10], [16]. Mounting regulatory pressures, related to areas such as confidentiality, financial accountability and data retention further add to the importance of ITG [15], [17]. The 'process' aspect of ITG concerns both portfolio as well as project level [18].…”
The purpose of this study is to understand how IT Governance (ITG) can foster or hinder the development and roll-out of radical or disruptive IT-enabled innovations. Propositions derived from the extant literature guide the analysis of seven embedded case studies of different innovation initiatives within a single large Dutch multinational bank with various contingency factors affecting ITG across the cases. Our findings confirm and extend earlier studies that emphasize the importance of proper business-IT communication and identify challenges caused by long gatekeeping processes and by the use of novel technologies in a traditional IT landscape. Radical or disruptive innovations also add new challenges, as they often cross business lines and therefore may be exposed to a heterogeneous set of ITG mechanisms. Our study further demonstrates that these innovations demand a different approach on an IT-functional level and a reconsideration of the risk capability structure to optimize efficiency.
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