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Gorbenko K, Romanchuk K, Sagliocca F, Mazumdar M. A changing supply chain for a changing health care system: Barriers and facilitators of implementing enterprise resource planning. Work 2022; 74:977-990. [PMID: 36404564 DOI: 10.3233/wor-210081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND: No studies have examined how health care mergers and acquisitions affected the hospital supply chain and its employees since the passing of the Patient Protection and Affordable Care Act. OBJECTIVE: To describe the barriers and facilitators of digital transformation in a hospital supply chain from the employee perspective. METHODS: We conducted two rounds of interviews, one year apart, with supply chain employees at an urban academic health system preparing to adopt an enterprise resource planning (ERP) software (N = 11 in Round I and N = 8 in Round II). Two researchers coded transcripts for themes using NVivo 11. RESULTS: We identified the following barriers to technology integration: silos between supply chain groups (e.g. Purchasing, Information Management, Strategic Sourcing), between employees and management, and resulting from prior mergers; focus on short-term problems and fear of change; and lack of transparent communication about upcoming changes. Facilitators of technology integration included motivation to work in supply chain; long-term vision that allowed tolerance of change and positive outlook; and transparent communication. CONCLUSION: Desire for shared leadership among employees emerged as a major theme, indicating the need for active involvement of employees during transition to new integrative technology.
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Affiliation(s)
- Ksenia Gorbenko
- Institute for Health Care Delivery Science, Mount Sinai Health System, New York, NY, USA
- Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Kathryn Romanchuk
- Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Harvard Medical School Postgraduate Education, Boston, MA, USA
- Center for Nursing Research and Innovation, Mount Sinai Health System, New York, NY, USA
| | | | - Madhu Mazumdar
- Institute for Health Care Delivery Science, Mount Sinai Health System, New York, NY, USA
- Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Biostatistics Core, Tisch Cancer Institute, Mount Sinai Health System, New York, NY, USA
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