Aligning Effectively: The Case of Electronic Medical Records

Research output: Chapter in Book/Report/Conference proceedingConference Article in proceedingAcademicpeer-review

181 Downloads (Pure)


Co-evolutionary IS-alignment (COISA) is a relatively new approach to understanding business-IT alignment (BITA) in complex environments. It is defined as continuously exercised alignment processes, characterized by co-evolutionary interactions between different IS stakeholders, in pursuit of a common interpretation and implementation of what it means to apply IT in an appropriate and timely way, in harmony with strategies, goals, and needs. This concept is well applicable in hospitals, given their many different stakeholders and quickly changing environments. For example, although hospitals heavily invest in advanced Electronic Medical Records (EMR), it remains unclear how EMR should align with the strategies, goals, and needs of hospitals and its stakeholders. Earlier work has shown that COISA may be a useful lens in revealing the manifestation of stakeholder interactions behind alignment during EMR implementations. However, it is insufficient only to assess the manifestation of COISA interactions, as this is no guarantee that these interactions are effective in pursuing alignment. Our study reveals facilitators of efficacious COISA interactions during EMR implementations, using theoretical insights on BITA, COISA and efficacious dynamics in complex organizations and empirical insights from a single case study and three focus groups. Our findings reconcile and complement existing knowledge, specifically for EMR implementations.
Original languageEnglish
Title of host publicationProceedings of the 28th European Conference on Information Systems (ECIS)
Subtitle of host publicationAn Online AIS Conference, June 15-17, 2020
Place of Publicationonline
PublisherAssociation for Information Systems
Number of pages16
ISBN (Electronic)9781733632515
Publication statusPublished - Jun 2020
EventThe 28th European Conference on Information Systems (ECIS): Liberty, Equality and Fraternity in a Digitizing World - Full Online Event
Duration: 15 Jun 202017 Jun 2020
Conference number: 28


ConferenceThe 28th European Conference on Information Systems (ECIS)
Abbreviated titleECIS 2020 conference
Internet address


  • Co-evolutionary IS-alignment
  • Electronic Medical Records
  • Business-IT alignment
  • Complex Adaptive Systems


Dive into the research topics of 'Aligning Effectively: The Case of Electronic Medical Records'. Together they form a unique fingerprint.

Cite this