Gorbenko Ksenia, Romanchuk Kathryn, Sagliocca Franco, Mazumdar Madhu
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.
Work. 2023;74(3):977-990. doi: 10.3233/WOR-210081.
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.
To describe the barriers and facilitators of digital transformation in a hospital supply chain from the employee perspective.
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.
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.
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.
自《患者保护与平价医疗法案》通过以来，尚无研究探讨医疗保健合并与收购如何影响医院供应链及其员工。
从员工角度描述医院供应链数字化转型的障碍与促进因素。
我们对一家城市学术医疗系统中准备采用企业资源规划（ERP）软件的供应链员工进行了两轮间隔一年的访谈（第一轮N = 11，第二轮N = 8）。两名研究人员使用NVivo 11对访谈记录进行主题编码。
我们确定了以下技术整合障碍：供应链各部门（如采购、信息管理、战略采购）之间、员工与管理层之间以及先前合并导致的部门壁垒；关注短期问题和对变革的恐惧；以及缺乏关于即将到来的变革的透明沟通。技术整合的促进因素包括在供应链工作的积极性；允许容忍变革和积极展望的长期愿景；以及透明沟通。
员工对共享领导权的渴望成为一个主要主题，表明在向新的整合技术过渡期间员工需要积极参与。
