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"Morabito, Vincenzo"
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Business technology organization : managing DIGITAL information technology for value creation - the SIGMA approach
In this book the author aims to describe the path from Information Technology to Information Management and Information Governance. This path allows organizations to identify IT Business Value and take advantage of it. The book synthesizes the main approaches that have emerged in recent years, compares these approaches along multiple variables, and finally proposes an advanced and new approach to Information Governance, based on the concept of Organizational Absorptive Capacity. Futhermore, the book presents a new approach to Information Management: the SIGMA (Strategic Information Governance Modelling and Assessment) approach. The new approach is centered on information as a key factor allowing integration between IT applications, organizational capabilities and business strategy. In particular, the Absorptive Capacity concept is presented and discussed: this concept represents the ability of an organization to maintain and absorb the potential of information and IT investments. After having presented and discussed the model, the author provides a brief presentation of how the SIGMA approach should be applied in companies. The book adopts a scientific approach to ensure methodological rigour; however, it is also concrete and describes problems from the viewpoints of managers, adopting a clear and easy-to-understand language in order to capture the interest of top managers and graduate students.
Book
Learning from Experience: The Project Team is the Key
Learning from experience and knowledge management described in existing literature evidence that there are different practices that enable these processes, and that a distinction between implicit and explicit knowledge is essential for our analysis.
The paper investigates through which project management practices organizations manage the two types of knowledge and at what level knowledge sharing and reuse is more commonly adopted.
The research starts with existing research overview and analysis of preliminary results from initial interviews, and then it continues with a survey on selected knowledge management practices in order to identify which of them are mostly used by organizations.
Results show the essential role of the project team; this finding is then further elaborated using knowledge from research presented in existing literature.
Project management enhances efficient knowledge management as on one hand, it includes the adoption of standardised and repetitive practises what enables specialization and knowledge consolidation. On the other hand, project management refers to unique initiatives that provide new knowledge and opportunities for learning. The project team in particular results to be a key factor for activating knowledge reuse.
Journal Article
Renal dysfunction in cirrhosis is not just a vasomotor nephropathy
The short-term mortality of cirrhotic patients who develop renal dysfunction remains unacceptably high, and as such the treatment of this condition is an unmet need. Although features of kidney injury are well recognized in these patients, the pathophysiology is complex and not completely understood. Improved understanding of the pathophysiological mechanisms involved in renal dysfunction occurring on a background of cirrhosis is key to developing effective treatment strategies to improve survival. Renal dysfunction due to hepatorenal syndrome (HRS) is characteristic of cirrhosis. Our current understanding is that HRS is functional in nature and occurs as a consequence of hemodynamic changes associated with portal hypertension. However, there is evidence in the literature suggesting that, histologically, the kidneys are not always normal in the vast majority of patients who present with renal dysfunction on the background of cirrhosis. Furthermore, there is emerging data implicating nonvasomotor mechanisms in the pathophysiology of renal dysfunction in cirrhosis. This mini-review aims to present the evidence suggesting that factors other than hemodynamic dysregulation have an important role in the development of this major complication for patients with progressive cirrhosis.
Journal Article
IS Integration and Business Performance: The Mediation Effect of Organizational Absorptive Capacity in SMEs
A fundamental result of the information technology (IT) and business performance literature is that IT is not a driver of performance per se. However, it can be associated with higher performance if accompanied by organizational change. The identification of the variables describing organizational change is still on-going work. This paper focuses on organizational absorptive capacity and analyses its effects on the relationship between IT and business performance in small and medium enterprises (SMEs). Organizational absorptive capacity measures the ability of an organization to complete a learning process. A significant learning effort is typically associated with IT, as it represents a complex technology. To cope with IT's complexity, implementation is typically incremental and is accompanied by a continuous integration effort of data and applications. The degree of integration of a company's information system (IS), called IS integration, is a proxy of IT maturity and quality. In this study, we explore the effect of IS integration on business performance through absorptive capacity, that is, we hypothesize that absorptive capacity has a mediation role between IS integration and business performance. The proposed research model is tested with data surveyed from 466 SMEs sited in Italy, for which exports constitute more than half of their revenues. Results indicate that organizational absorptive capacity has a mediation effect. Alternative models attributing to absorptive capacity a role different from mediation are found to be non-significant.
Journal Article
The path towards discovering PMO: an exploratory analysis of the Italian banking sector
Directly acting on Project Management practices, PMO provides companies with help to innovate, reaching competitive advantage and growth in the long run, ceteris paribus, and attempts to reduce uncertainty. Even though PMO is a more consolidated practice in some countries, the phenomenon has lately been introduced in Italy, and it is still evolving. Not all organizations and not all individuals clearly understand the potential of PMO, and its role is often limited to simple Project Management in its strict meaning, while areas for improvement are many and varied. The paper analyses the status of PMO through a survey conducted inside the Italian banking sector, trying to frame the role of PMO, throwing light on its importance for a company as a whole, and not just for a single project. A discussion of the results and future work concludes the paper.
Journal Article
Il trasporto degli organi: criteri di sicurezza, qualità e sostenibilità
Transportation of organs by air: safety, quality and sustainability criteria The outcome of organ transplantation activities is greatly affected by the ability to haul quickly and safely organs and medical teams with due respect of times of ischemia. Organs allocation and usage criteria have greatly improved over time; whereas transport has to be optimized with a greater focus on criteria such as safety, level of service, efficiency, and sustainability. The Italian National Transplant Centre, in partnership with the Regions and the University of Bologna, has promoted a thorough analysis of all stages of organ transportation logistic chain in order to produce homogeneous and shared guidelines throughout the national territory. As soon as the mapping of all 44 Italian Transplant Centres (TC) and the pertaining airport network has been implemented, a national campaign of real-time monitoring of organ transport activities at all stages of the supply chain has been implemented on supra-regional basis. Parameters investigated have been Hospital and Region of both origin and destination TC, number and typology of organs involved, transport typology (with or without medical team), stations of arrival and departure, shipping agents as well as actual times of activities involved. National guidelines to select shipping agents and organ storage units have been issued, foreseeing EU-level standards on a) technical equipment of aircrafts; b) professional requirements of shipping agencies and cabin crew; c) requirements on service provision, including pricing criteria. The introduction of guidelines issuing minimum requirements on topics such as medical team, packaging, labelling, safety and integrity, identification, real-time monitoring of temperature, traceability of the organ during the logistic chain in the Italian legislation is deemed a valid response to the necessity of improving safety, reliability and sustainability of organ transplantation activities in Italy.
Journal Article
Identifying healthcare actors involved in the adoption of information systems
The adoption of information systems in healthcare is no less significant than in any other commercial or caring organisation. The literature on IS adoption in healthcare, makes it clear that the actors involved in the adoption process are almost universally seen as crucial, which matches our research results too. However, how such actors should be identified remains a topic for investigatory work since these are early days in achieving this. We derive and propose a structured method to model how actors might be identified: structured because such a rationale is explicable and such a method is more readily usable when transferred to others. Our structured method, named IGOHcaps, uses a static and then a dynamic step to pull out the individual, group, organisational and human determinants of the critical actors. In this process, the individual actors' differing views emerge which could enable decision-making bodies to produce more robust proposals if they incorporated some of the appropriate views. We discuss the application of IGOHcaps through a hospital case study. While a single case study cannot be a proof, the engagement of the actors was encouraging.
Journal Article
A survey of critical success factors in e-Banking: an organisational perspective
We investigate organisational factors critical to the success of e-Banking (EB). Scholars report that a variety of factors are vital to EB success. A shortcoming in the extant EB literature is that much of the research focuses on a small subset of success factors and an overall ranking of factors is still missing. Our aim, therefore, is to synthesise and test the critical success factors (CSFs) identified in the existing literature, thus, substantiating or not the factors purported to be critical. To achieve our aim, we created a survey instrument from a synthesis of CSFs identified from existing EB and e-commerce literature. We draw upon the e-commerce body of knowledge to take in the widest set of CSFs that can affect EB. Data were collected from U.K.-based financial sector organisations that offer EB services. We found the most critical factors for success in EB are: quick responsive products/services, organisational flexibility, services expansion, systems integration and enhanced customer service. Our research shows that organisations need to manage their EB initiative at a strategic level and treat it as business critical rather than simply a technical or operational issue. They need to pay attention to internal integration, which includes channels, technology and business process integration, and improving the overall services to their customers.
Journal Article
A survey on integrated IS and competitive advantage
Purpose - This paper aims to provide robust evidence of the \"IT organizational assimilation capacity\" mediating role and to propose a complementary model.Design methodology approach - Based on theoretical proposition that IT business value is generated by the deployment of IT and complementary organizational resources, a research model was developed and two hypotheses were proposed. These are tested with a survey from 466 top managers in Italian companies. The 466 questionnaires were analyzed in two steps. In the first step, a series construct validation using factor analysis was performed in order to validate the scales. In the second step, a series of analyses using linear regression was performed between the two independent variables and the dependent variable to validate the mediator function of the IT organizational assimilation capacity.Findings - Data suggest that most firms have not merged information system (IS) integration with the right complementary organizational resources. The findings also support the notion that competitive advantage does not arise from replicable resources, but from complex, firm-specific and intangible resources and capabilities. The findings help to explain why some firms struggle while others flourish with the same ITs, and why IT-based advantages tend to dissipate so rapidly.Research limitations implications - The research suggests that ITs do not merge themselves automatically with human and business resources. Evolving Leavitt's organization diamond and using the paper's data it can be shown that ISs, process, change, flexibility and training are interrelated and mutually adjusting, so when ISs are changed the other components often adjust to dump out the impact of the innovation.Practical implications - The proposed model can be used complementary to the requirements methods offered by the IS development methodologies, to mitigate their inherent defects in addressing social, organizational and other non-technical issues, when developing a new IS.Originality value - This paper proposes a model to be used complementary to the requirements methods offered by the IS development methodologies
Journal Article
Healthcare information systems and older employees' training
Purpose - The purpose of this paper is to examine a model that supports the management, design and delivery of Healthcare Information Systems (HIS) training activities for older healthcare employees.Design methodology approach - The study is carried out by means of a quantitative study.Findings - The paper investigated older employees training management in Healthcare Information Systems and proposed a novel model. The model was tested by 139 healthcare employees and it was found that: older healthcare employees need to be trained on HIS; older healthcare employees should be trained by combining new technologies and considering theories on older employees training; given the many other pressures on today's clinicians, and health care workers' relative lack of experience with computing, there should be a well organized and managed training process; and healthcare organizations should realize the benefits to be gained by well managed training processes and should support their employees.Research limitations implications - At the theoretical level the paper extends the body of literature and it proposes a validated model that can be replicable.Originality value - At the practical level this research demonstrated that by using the proposed model older employees in the healthcare sector can be trained on Healthcare Information System in a more organized way, can improve their skills, and can seek new career paths.
Journal Article