IT-enabled Transformation of Healthcare Delivery
I have participated in several research studies that investigate how technology-enabled innovations can enable health care organizations to improve their service delivery.
Working with researchers from Georgia Health Sciences University and Prof. Lars Mathiassen at Georgia State University's Center for Process Innovation, I investigated how a large public health district in Georgia successfully integrated telehealth into its operations over a 20-year period to provide specialty care to a distributed rural population.
Published Research Papers/Conference Proceedings based on Study #1:
- A health services focused case study that examines the process of adoption of telehealth in a rural health organization and explains how the innovation became sustainable -----> Rajendra Singh, Lars Mathiassen, Max E. Stachura, and Elena V. Astapova (2010) “Sustainable Rural Telehealth Innovation - A Public Health Case Study” Health Services Research (45:4), pp 985–1004 [Link to paper]
- An information systems focused conference paper suggesting a paradoxical approach to understand the process of innovation in the context of rural telehealth -----> Rajendra Singh, Lars Mathiassen and Abhay Mishra “A Theory of Rural Telehealth Innovation – A Paradoxical Approach” International Conference on Information Systems (ICIS), Phoenix, AZ, USA, December 15-18, 2009
- A theory-building paper based on the case study, proposing a Theory of Path Constitution that combines path dependence and path creation perspectives -----> Rajendra Singh, Lars Mathiassen, and Abhay Mishra (2015) “Organizational Path Constitution in Technology Innovation: Evidence from Rural Telehealth” MIS Quarterly (39:3) pp 643–665 [Link to paper]
Again, working with the researchers from Georgia State University and Georgia Health Sciences University, I investigated a pioneering home health care provider based in Savannah, Georgia, that utilized remote patient monitoring and other information technologies to improve its service delivery and overall business model.
Published Research Papers/Conference Proceedings based on Study #2:
- An information systems focused case study that examines how an organization developed IT-enabled dynamic capabilities -----> Rajendra Singh, Lars Mathiassen, Max E. Stachura and Elena V. Astapova (2011) “Dynamic Capabilities in Home Health: IT-enabled Transformation of Post-acute Care” Journal of the Association for Information Systems, Special Issue on Health Care IT (12:2), pp 163–188 [Link to abstract]
- A health care operations management focused paper based on this study is under development, targeted for submission in spring 2016.
This study involves collaboration with Prof. Prof. Lars Mathiassen at Georgia State University's Center for Process Innovation, Prof. Jeffrey Switzer (Georgia Health Sciences University), and Prof. Robert Adams (Medical University of South Carolina). The purpose of this study is to investigate REACH - a leading web-based telehealth solution for stroke assessment. The study seeks to explain the observed variation in assimilation of REACH and consequential stroke treatment (using a drug called tPA) across emergency rooms in remote rural and community hospitals.
Published Research Papers/Conference Proceedings based on Study #3:
- A clinical focused paper that examines the variations in utilization of tPA for stroke patients -----> Jeffrey A. Switzer, Rajendra Singh, Lars Mathiassen, Jennifer L. Waller, Robert J. Adams, and David C. Hess (2015) “Telestroke: Variations in Intravenous Thrombolysis by Spoke Hospitals” Journal of Stroke and Cerebrovascular Diseases (24:4) pp 739–744 [Link to abstract]
- A health services focused paper that examines the variations in assimilation of technology for management of stroke patients across telehealth networks in two states -----> Rajendra Singh, Lars Mathiassen, Jeffrey A. Switzer and Robert J. Adams (2014) “Assimilation of Web-Based Urgent Stroke Evaluation: A Qualitative Study of Two Networks” JMIR Medical Informatics (2:1 e6), pp 1–13 [Link to paper]
- An information systems focused paper based on this study is under development, targeted for submission in spring 2016.
This study is a collaborative project with researchers at Georgia Health Policy Center to investigate the sustainability of rural health network development and rural healthcare services outreach programs in Georgia. The motivation of the research is to explain how rural health systems transformation can occur through external technical assistance.
Published Research Papers/Conference Proceedings based on Study #4:
- A health services focused paper based on this study is under development, targeted for submission in spring 2016.
IT-enabled Information Management (DISSERTATION PROJECT)
This was a two-year action research with Prof. Lars Mathiassen, in which we engaged in IT-enabled process transformations at a rural hospital in Georgia to improve its revenue cycle. My doctoral dissertation, titled “Towards Information Polycentricity Theory: Investigation of a Hospital Revenue Cycle” is based on this study. This research investigates how IT can support transformation of information management practices in a hospital revenue cycle. As theoretical framing, I draw on Polycentricity Theory, Transaction Cost Theory (Coase 1937; Williamson 1981), and Information Management Theory (Ciborra 1981; 1993), to develop our understanding of IT-enabled innovation and information management in complex organizations, such as hospitals. This research contributes to information management theory, health-IS, and health care management practice.
Published Research Papers/Conference Proceedings based on Study #5:
- An Action Research based conference paper that examined how simple and cost-effective IT-enabled innovations can help to improve revenue cycle in a hospital -----> Rajendra Singh, Vitali Mindel, and Lars Mathiassen, “IT-based Revenue Cycle Management – An Action Research into Relational Coordination” Hawaii International Conference on System Sciences, January 5-8, 2016 *** "Best Paper Award" in Information Technology in Healthcare Track [Link to conference paper]
- Another paper based on this study is being developed for a special issue on Action Research in Journal of Management Information Systems (JMIS).
IT Project Management
Collaborating with Prof. Mark Keil at Georgia State University, I conducted a Delphi study to examine the challenges of implementing project management office for IT organizations. This study developed from a Ph.D. seminar project.
Published Research Papers/Conference Proceedings based on Study #6:
- A conference paper that examined the results of the Delphi study -----> Rajendra Singh, Mark Keil and Vijay Kasi “The Challenges in Implementing a Project Management Office: A Delphi Study” Academy of Management Annual Meeting (AOM), Philadelphia, PA, USA, August 3-8, 2007
- An information systems focused paper that examined the challenges of implementing project management office for IT organizations -----> Rajendra Singh, Mark Keil, and Vijay Kasi (2009) “Identifying and Overcoming the Challenges of Implementing a Project Management Office” European Journal of Information Systems (18:5), pp 409-427 [Link to abstract]