title: Corporate governance and the adoption of health information technology within integrated delivery systems.
abstract: BACKGROUND
  Although several previous studies have found "system affiliation" to be a significant and positive predictor of health information technology (IT) adoption, little is known about the association between corporate governance practices and adoption of IT within U.S. integrated delivery systems (IDSs).
  
  
  OBJECTIVE
  Rooted in agency theory and corporate governance research, this study examines the association between corporate governance practices (centralization of IT decision rights and strategic alignment between business and IT strategy) and IT adoption, standardization, and innovation within IDSs.
  
  
  METHODS
  Cross-sectional, retrospective analyses using data from the 2011 Health Information and Management Systems Society Analytics Database on adoption within IDSs (N = 485) is used to analyze the correlation between two corporate governance constructs (centralization of IT decision rights and strategic alignment) and three IT constructs (adoption, standardization, and innovation) for clinical and supply chain IT. Multivariate fractional logit, probit, and negative binomial regressions are applied.
  
  
  RESULTS
  Multivariate regressions controlling for IDS and market characteristics find that measures of IT adoption, IT standardization, and innovative IT adoption are significantly associated with centralization of IT decision rights and strategic alignment. Specifically, centralization of IT decision rights is associated with 22% higher adoption of Bar Coding for Materials Management and 30%-35% fewer IT vendors for Clinical Data Repositories and Materials Management Information Systems. A combination of centralization and clinical IT strategic alignment is associated with 50% higher Computerized Physician Order Entry adoption, and centralization along with supply chain IT strategic alignment is significantly negatively correlated with Radio Frequency Identification adoption
  
  
  CONCLUSIONS
  : Although IT adoption and standardization are likely to benefit from corporate governance practices within IDSs, innovation is likely to be delayed. In addition, corporate governance is not one-size-fits-all, and contingencies are important considerations.
authors.affiliation: Aaron Baird, PhD, MBA, is Assistant Professor, Institute of Health Administration and Center for Health Information Technology, J. Mack Robinson College of Business, Georgia State University, P.O. Box 3988, Atlanta. E-mail: abaird@gsu.edu. Michael F. Furukawa, PhD, is Director, Office of Economic Analysis, Evaluation, and Modeling, Office of the National Coordinator for Health Information Technology, Department of Health and Human Services, Washington, DC. E-mail: michael.furukawa@hhs.gov. Bushra Rahman, MBA, MHSM, is Research Administrator, Health Sector Supply Chain Research Consortium, Department of Supply Chain Management, W.P. Carey School of Business, Arizona State University, P.O. Box 874706, Tempe. Eugene S. Schneller, PhD, is Dean's Council of 100 Distinguished Scholar, Department of Supply Chain Management, W.P. Carey School of Business, Arizona State University, P.O. Box 874706, Tempe.
authors.forename: Aaron
authors.initials: A
authors.lastname: Baird
authors.forename: Michael F
authors.initials: MF
authors.lastname: Furukawa
authors.forename: Bushra
authors.initials: B
authors.lastname: Rahman
authors.forename: Eugene S
authors.initials: ES
authors.lastname: Schneller
mesh_terms: D003430:Cross-Sectional Studies; D003659:Decision Making, Organizational; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D008490:Medical Informatics / Q000458:organization & administration* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D018581:Technology Transfer; D014481:United States