ABSTRACT Two central approaches to IT-enabled organisational change are process innovation and digital infrastructure research. In this study, we investigate the alignment between them, both from a theoretical and a practical perspective. They have quite different basic assumptions on evolution; process innovation is a top-down approach, while digital infrastructures evolve bottom-up and are partly outside direct managerial control. Our research question is, how can a process innovation initiative successfully align with an underlying digital infrastructure? Our empirical evidence is an in-depth case study at a new high-tech hospital in Norway. Building on a proposed framework of alignment between process innovation and digital infrastructure, we identify, analyse three architectural alignment mechanisms. We found that (i) the careful deployment of lightweight IT in onsite configuration, loosely coupled from the infrastructure activities, allows for fast process innovation while leveraging the slow and nonlinear evolution of infrastructure (ii) the interaction between lightweight IT and large clinical systems by a set of boundary resources resolves the tension between innovation and infrastructure. For practitioners, we show that lightweight IT can serve as a mediating technology in the configuration.

中文翻译：

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高科技医院流程创新和数字基础设施的架构对齐

摘要 IT 驱动的组织变革的两个核心方法是流程创新和数字基础设施研究。在这项研究中，我们从理论和实践的角度研究了它们之间的一致性。他们对进化有完全不同的基本假设；流程创新是一种自上而下的方法，而数字基础设施自下而上发展，部分不受直接管理控制。我们的研究问题是，流程创新计划如何成功地与底层数字基础设施保持一致？我们的经验证据是在挪威一家新的高科技医院进行的深入案例研究。基于流程创新和数字基础设施之间的协调一致框架，我们确定、分析了三种架构协调机制。我们发现 (i) 在现场配置中精心部署轻量级 IT，与基础设施活动松散耦合，允许快速流程创新，同时利用基础设施的缓慢和非线性演变 (ii) 轻量级 IT 与大型临床系统之间的交互通过一套边界资源解决了创新和基础设施之间的紧张关系。对于从业者，我们展示了轻量级 IT 可以作为配置中的中介技术。允许快速流程创新，同时利用基础设施的缓慢和非线性演变 (ii) 轻量级 IT 和大型临床系统之间通过一组边界资源的交互解决了创新和基础设施之间的紧张关系。对于从业者，我们展示了轻量级 IT 可以作为配置中的中介技术。允许快速流程创新，同时利用基础设施的缓慢和非线性演变 (ii) 轻量级 IT 和大型临床系统之间通过一组边界资源的交互解决了创新和基础设施之间的紧张关系。对于从业者，我们展示了轻量级 IT 可以作为配置中的中介技术。