Tag Archives: Khuntia

Benefits of IT-Enabled Flexibilities for Foreign versus Local Firms in Emerging Economies

Jiban Khuntia, Abhishek Kathuria, Terence JV Saldanha, Benn R Konsynski
Journal of Management Information Systems,Vol. 36, Issue 3, Pages: 855-892.
Emerging economies present attractive opportunities to foreign firms. However, internationalization risk faced by foreign firms can have significant implications for their performance relative to local firms. Information Technology (IT) and IT-enabled capabilities help firms overcome internationalization risk and compete globally. Marketing Capability and Relational Capability also mitigate this risk through access to information related to markets and the business environment. We examine how foreign firms and local firms compare in leveraging synergies between such IT and firm capabilities. We focus on two kinds of IT-enabled capabilities: IT-enabled Flexibility in Customer Services, and IT-enabled Flexibility in Partner Services, and develop hypotheses for their complementary effects with Marketing Capability and Relational Capability respectively, to positively influence firm performance. We then draw on the firm

Knowledge sharing in a health infomediary: role of self-concept, emotional empowerment, and self-esteem

Sumate Permwonguswa, Jiban Khuntia, Dobin Yim, Dawn Gregg, Abhishek Kathuria
Health Systems,Vol. 7, Issue 3, Pages: 181-194.
Health infomediary systems are emerging as important knowledge sharing platforms that help patients manage their own health outside of traditional health care delivery models. Patients participate in health infomediaries to learn from other patients’ experiences and knowledge. Knowledge sharing is an important aspect of the success of a health infomediary. Factors related to self-concept have been widely studied in the domains of psychiatry and psychology, in settings such as mental health and behavioural well-being, but remain unexplored in the digital health context. In particular, it is not known how self-concept influences knowledge sharing behaviours in health infomediaries. This study posits that self-efficacy, social identity, and self-stigma drive knowledge sharing in an infomediary through emotional empowerment and appearance-contingent self-esteem. We use the health belief model as a foundation to

Information Technology and Sustainability: Evidence from an Emerging Economy

Jiban Khuntia, Terence JV Saldanha, Sunil Mithas, V Sambamurthy
Production and Operations Management,Issue 10.1111/poms.12822,
Research in operations management and information systems suggests that information technology (IT) can play an important role in managing operations that support environmentally sustainable (green) growth. Yet, few studies have empirically assessed the efficacy of green IT investments and initiatives, particularly in emerging economies such as India. This study examines the performance consequences of green IT investment and implementation in terms of energy conservation and profit impact. We analyze an archival dataset constructed from a survey of nearly 300 organizations in India, matched partially with objective data from a secondary source. We find that green IT investment is positively associated with a higher profit impact and that this association is partially mediated by a reduction in IT equipment energy consumption. In addition, we find that operationsoriented green IT implementation is

Hospital Leadership in Support of Digital Transformation

Mohan Tanniru, Jiban Khuntia, Jack Weiner
Pacific Asia Journal of the Association for Information Systems,Vol. 10, Issue 3, Pages: 1-24.
Evolving customer expectations and the rapid introduction of new information technologies are influencing business operations, and businesses need to transform themselves with new operating models to remain competitive. The traditional top-down administrative leadership approach is not sufficiently flexible to support the innovation needed to sustain customer engagement and retention. There is a need for both an enabling leadership that supports the exploration of innovative ideas quickly for viability and an adaptive leadership to transition the ideas that show promise into the current business model or a variation of this model to sustain growth. We define digital leadership as a strategic process that collectively uses these three leadership styles to create an ecosystem that advances a culture of innovation within organizations. This leadership process uses four foundational platforms to support business transformations:(1) An innovation platform to empower teams to explore ideas that create value using digital transformations;(2) An agile system and business platform to quickly design and deliver IT implementations;(3) A learning platform to support reflective discourse that leads to organizational capacity building; and (4) An adoption platform to decide when and what implementations get transitioned to the regular business for sustaining competitiveness. We will illustrate how digital leadership is used to transform the culture of a community hospital through several IS implementations recognized by external peers for their innovativeness

A Strategic Value Appropriation Path for Cloud Computing

A Kathuria, A Mann, J Khuntia, T Saldanha, R. Kauffman
Journal of Management Information Systems,Issue Forthcoming,
Cloud-based information management is one of the leading competitive differentiation strategies for firms. With the increasing criticality of information management in value creation and process support, establishing an integrated capability with cloud computing is vital for organizational success in the changing landscape of business competition. These issues have received scant attention, however. We draw on the resource-based view, dynamic capability hierarchy concepts, and the perspective of operand and operant resources to suggest a cloud value appropriation model for firms. We argue that, to appropriate business value from cloud computing, the firm needs to effectively deploy cloud computing and leverage cloud operant resources as firm capabilities in a hierarchical fashion toward the development of cloud computing-based service models in order to reliably achieve the desired business outcomes. We

Dimensions of Patient Experience and Overall Satisfaction in Emergency Departments

Mohan Tanniru, Jiban Khuntia
Journal of patient experience,Vol. 4, Issue 3, Pages: 95-100.
Objective:To determine the correlation between individual patient experience dimensions and overall patient satisfaction using text-based analysis of subjective comments of patients treated in emergency departments.Methods:Open-ended comments from 331 patients who visited the emergency departments of 4 hospitals were used for coding different dimensions of patient experience. Regression coefficients were calculated to assess the relationships between dimensions of patient experiences with overall satisfaction.Results:Positive and negative experience of nursing, communications, and infrastructure influence the overall satisfaction. Positive experience attributes of overall care quality influence overall satisfaction, whereas negative experience of the same does not have any influence. Further, experiences of interactions with doctors and scheduling do not have any effect on overall satisfaction in

The Impact of the Internet on Values in India: Shifts in Self-Enhancement and Self-Transcendence Amongst Indian Youth

Vicki R Lane, Jiban Khuntia, Madhavan Parthasarathy, Bidyut B Hazarika
Journal of Global Information Management (JGIM),Vol. 25, Issue 3, Pages: 98-120.

In this study, the authors examine how the internet is changing two critical personal value dimensions of India’s youth. Based on values theory, and using data that spans a decade from 2004-2014, they contend that time spent on the internet is an influential factor in changing self-enhancement and self-transcendence values. Given the tremendous increase in exposure to western products, ideals, and people-to-people interaction via internet connectivity (India has over 275 million internet users who communicate in the …
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Sharing News Through Social Networks

Khuntia, J., Hang, S., Yim, D.
International Journal on Media Management, Volume 18, Issue 1

In contemporary media management, the sharing of news articles among readers’ family, friends, and social circle is vital to the media outlet’s reaching a wide audience and building engagement. As the use of social media is becoming more integrated into the core strategy of many businesses, the propensity to share news has become a key metric to measure and understand media impact. Although existing literature suggests that increasing the centrality of news sharing has become an important factor in audience engagement, empirical evidence of the influence of news sharing is sparse. The challenges in motivating news readers to share in the media environment call for research on the characteristics that predict the spreading of news. In this regard, we investigate how textual characteristics of news articles influence sharing activities. Using a publicly available secondary dataset of 39,797 records from Mashable, we build a decision tree and conducted regression analysis to identify the factors that are most influential in terms of sharing. We find that subjective writing style, polar sentiments expressed in the title of an article, and embedded content, such as external links and images, are positively associated with number of shares. In addition, we find that sharing of articles occurs more often through social media channels than through other special interest websites (e.g., entertainment, business) and more frequently on weekends. We provide managerial insights into the economics of the contemporary news business and guidelines to measure, monetize, and analyze audience engagement based on the sharing process.

Digital leadership in action in a hospital through a real time dashboard system implementation and experience

Jack Weiner, Mohan Tanniru, Jiban Khuntia, David Bobryk, Mehul Naik, Kenneth LePage
Journal of Hospital Administration, Volume 5, Issue 4, Pp. 34-43.

Background: Regulatory and competitive pressures and the need for cross-organizational data sharing are demanding that hospital leaders create a data-driven decision making culture to improve performance. Using an innovation assimilation strategy framework, this paper describes how a hospital used its implementation of a Real Time Dashboard System (rtDashboard) to improve performance, change its organizational culture and put it on a path towards digital leadership (DL).
Objective: Implement an rtDashboard system that can support a data-driven decision making culture for performance improvement while engaging business and information technology (IT) leaders in DL practice.
Results: The rtDashboard contributed significantly to monitoring hospital performance and influenced change in unit level decision making that was aligned with hospital goals. The rtDashboard implementation not only provided substantial performance improvement and quality benchmarking, but also changed the responsibility and accountability culture and helped the hospital put in practice DL principles to support future innovations.
Conclusions: DL through rtDashboard is a demonstration of how a hospital can seek and strive for excellence. As much as dashboards are pivotal to organizational performance monitoring at the senior leadership level, the process used to diffuse it to every operational unit in support of a data-driven decision making culture showcases how hospital executives and IT leaders can work together to continually align and re-align their strategies to reach organizational goals – the core of DL practice.

Information Systems Impact on Nurse Call Response–Role of Velocity and Uncertainty

Jiban Khuntia, Mohan Tanniru, Fabian Fregoli, Matthew Nawrocki
Pacific Asia Journal of the Association for Information Systems, Volume 8, Issue 1, Pp. 333-64

The nurse call system is the lifeline for a patient in a hospital room. Nurse call systems help patients initiate calls from their room in a hospital, and the response to these calls is a crucial factor in providing timely quality care and improving patient satisfaction. Two questions arise in relation to response time. Are there differences in the response to patient calls in different hospital units? Does an IT-enabled escalation of calls to ensure care quality improve the call response efficiency and effectiveness? In this study, we explore these two research questions. We argue that differences in call response time are influenced by two operational attributes of care units: velocity and uncertainty. These attributes will determine how nursing staff view both the need and urgency associated with calls and respond to them. Internet discussion forums at allnurses.com (secondary data analysis) are used to answer the first question. The analysis validates a 2 × 2 framework, which maps four different hospital units on velocity and uncertainty dimensions. A quantitative approach is then used to address the second question by analyzing the response time differences to patient calls by different hospital units when an IT-based escalation protocol is used. Data from 1,131 patient rooms provides evidence of response time differences in different units, each with a varying degree of velocity and uncertainty. We then discuss the implications of this research for future studies on patient satisfaction using a single metric such as nurse call response time.

Juggling digitization and technostress: The case of alert fatigues in the patient care system implementation

Jiban Khuntia, Mohan Tanniru, Jack Weiner
Health Policy and Technology, Volume 4, Issue 4, Pp. 364-377

Policy mandates and business benefits are propelling hospitals to implement several decision support systems that can help nurses to aid in clinical care decisions. These systems can plausibly reduce errors and provide care by offering real-time alerts about possible adverse reactions. But nurses often suffer “alert fatigue” caused by excessive numbers of warnings within the hospital while providing care. As a result, they may pay less attention to or even ignore some vital alerts, thus limiting these systems׳ effectiveness. In this study, we explore how implementation of an intelligent care system in a hospital with the objective of implementing several decision support systems inadvertently led to a set of alert fatigues. Our analysis of fatigue related technostress suggests a change in management strategy that involves synchronization of people, technology and policies, and is in support of patient care.

Identifying Bands in the Knowledge Exchange Spectrum in an Online Health Infomediary

Dobin Yim, Jiban Khuntia, Young Argyris
International Journal of Healthcare Information Systems and Informatics (IJHISI), Volume 10, Issue 3, Pp. 63-84

Online health infomediaries have the objective of knowledge exchange between participants. Visitor contribution is an important factor for the success of the infomediaries. Providers engaged with infomediaries need visitor identification for reputational incentives. However, identification or classification of visitors in online health infomediaries is sparse in literature. This study proposes two dimensions of participation, the intention and intensity levels of visitors, to conceptualize four user categories: community supporters, experiencer providers, knowledge questors, and expertise contributors. The authors validate these categories using a unique large data set collected from a health infomediary for cosmetic surgery, and consisting of 162,598 observed activities of 44,350 visitors, at different participation levels in the year 2012-13. They use cluster analysis to describe similarities and differences among the four user categories. Practice implications are discussed.

Extending Care Outside of the Hospital Walls: A Case of Value Creation through Synchronous Video Communication for Knowledge Exchange in Community Health Network

Jiban Khuntia, Mohan Tanniru, John Zervos
International Journal of E-Business Research (IJEBR), Volume 11 Issue 2, Pp. 1-17

In healthcare settings knowledge exchange among important stakeholders such as doctors, family and patients, and other care providers is a critical imperative. However, such a community modelled approach is missing, limited in scope or its business value not well understood. In this study, the authors illustrate the value potential and subsequent development of a business model for knowledge exchange within the healthcare delivery model outside a hospital setting. Specifically, they illustrate how Synchronous Video Consultation with social media features, in a staged approach, can support knowledge exchange among a network of community health care professionals who address global health disparities and sustain this exchange through resource generation. The authors discuss the contributions and implications of the proposed framework towards value creation in a collaborative setting in general and suggest opportunities for future research.

The University of Colorado Digital Health Consortium Initiative: A Collaborative Model of Education, Research and Service

Jiban Khuntia, Jahangir Karimi, Mohan Tanniru, Arlen Meyers
Journal of Commercial Biotechnology, Vol. 20 Issue 3, June 2014

This article describes the initiative and actions related to establishing a Digital Health Consortium (DHC) at the University of Colorado Denver. The consortium is a part of  the Center for Information Technology Innovation (CITI) in the Business School. The objective is to augment existing information systems program offerings in health information  technology with the support of industry affiliates and other partners of the university. The CITI-DHC is an industry-academia led initiative with a mission to accelerate digital health transformation through education, research, and service. We illustrate the vision and plan for the consortium, that will be fulfilled with academic and industry stakeholders, and who will be engaged with the platform to support digital health care innovations through collaborations.

Media Reinforcement for Psychological Empowerment in Chronic Disease Management

Kaushik Ghosh, Jiban Khuntia, Sudhir Chawla, Xiaodong Deng
Communications of the Association for Information Systems, Volume 34, Article 22

Although information technology (IT) is often argued to have the potential to enable greater patient participation in healthcare delivery, how IT empow ers patients to take charge of their own health is a less explored area. This study explores how IT-enabled communication plays a significant role in shaping the patients’ psychological empow erment for managing a chronic disease—diabetes. Psychological empow erment reflects a patient’s cognitive
response and motivation to manage the disease. Two dimensions of psychological …

Information Technology and Voluntary Quality Disclosure by Hospitals

Corey Angst, Ritu Agarwal, Guodong Gordon Gao, Jiban Khuntia, Jeffrey S McCullough
Decision Support Systems, Volume 57, Issue 1, Pp. 367-375

Information asymmetry between consumers and health care providers is a well-known phenomenon in health care systems. Disclosure of health care quality information is one important mechanism through which hospitals can signal performance to potential patients and competitors, yet little is known about the organizational factors that contribute to voluntary disclosure. In this study we develop an empirical model to investigate the factors associated with choosing to participate in a voluntary quality disclosure initiative, specifically isolating the importance of information technology (IT) in facilitating disclosure. We extend the scope of prior work on the quality disclosure choice by augmenting it with an important decision variable: the operational costs of collecting and reporting quality data. We suggest that IT can facilitate disclosure by reducing these costs, thereby extending the literature on the value of IT. Empirical findings using data from a major voluntary quality disclosure program in California hospitals support our assertion related to the role of IT. Our results further highlight other hospital characteristics contributing to disclosure. We discuss implications of these findings for research and practice.