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The business processes during digital transformation have increasingly significant impact on organizations' operations where ISs play strategic role. Within context of business and IT Arvidsson et al. described three critical dimensions (Figure 1) to consider successful implementation of IS strategy (Arvidsson, Holmström, & Lyytinen, 2014). In healthcare, the proper adoption, and effective use, of strategic IS can be the key component of business strategy within HDT in achieving a competitive advantage in patient’s care (Bharadwaj, El Sawy, Pavlou, & Venkatraman, 2013; Chesney, 2003).
Figure 1. Three critical dimensions within IS strategy implementation [source: (Arvidsson et al., 2014)].
In providing the real-time decision support during process of digital transformation the businesses should rely on business ISs. In healthcare the composites of many applications, functions, technology, and people (both developing and using) include Electronic Health Record (EHR) in order to ensure clinical, and financial, information functions (HIMSS Enterprise Information Systems Steering Committee, 2007; Møller, 2006). The business ISs (Figure 2) on one side support an organization’s day-to-day business activities and on other side they support managerial decision making (Hardcastle, 2011).
Figure 2. Two fundamental roles of business ISs
Healthcare management has been challenged by decades of institutional reforms and, more recently, by the emergence of new forms of patient–doctor relationships. This is often struggled with cost and proper information deficiency. However, healthcare management is responsible and should boost own competitiveness in improving the healthcare. To achieve strategic business goals in that dimension it should either increase a competitive advantage or decrease a competitive disadvantage. The strategic and business ISs can become the valid facilitators in achieving the strategic business goals, including proper enablement of organizational transformation (Besson & Rowe, 2012; Chesney, 2003; Tran & Voyer, 2015; Wang, Kung, & Byrd, 2018).