An Evaluation of the Point-of-Care (PoC) System Implementation and Adoption in a Multi-Campus Private Hospital in Melbourne

  • Imran Muhammad
  • Nilmini Wickramasinghe
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)


Successful adoption and implementation of HIS has been the subject of extensive research as can be evidenced by the large body of research literature on this topic. However, the effect of fit-viability issues has been less widely studied, perhaps because of the difficulty and complexity of such sociotechnical studies. HIS implementation is multifaceted and involves people issues as well as technological issues. The effect of sociotechnical issues such as macro level or external factors including political, social, economic, environmental infrastructure, technology, and laws and regulations; meso level or organizational factors such as leadership, management style, policies, and structure; and micro level or tactical factors such as information sharing, training and learning, technical staff or user behaviour has been less widely studied. By drawing upon multiple streams of theory building, a framework, from the fit-viability model (FVM) perspective, is developed. The framework provides important and valuable guiding principles for organizations for their decisions on adoption and deployment of HIS. Grounded on the fit-viability framework, we proffer a unique application of the fit-viability model (FVM) to enable a better understanding of vital issues concerning the implementation and adoption of a point of care (PoC) system at one of the not-for-profit private organization in Australia. This will help the decision-makers in hospital to understand how the new system fits within the different specialties and also if it is a viable option to install such a new system. This study focuses on just two departments of the hospital, namely, Food Services and Environment Services. An exploratory single case qualitative study methodology is adopted. From such an analysis, it is conceivable to assert focal aspects with the PoC solution and opportunities to add value.


Point-of-care (PoC) systems Fit-viability model (FVM) Implementation 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Imran Muhammad
    • 1
  • Nilmini Wickramasinghe
    • 2
    • 3
  1. 1.Deakin UniversityBurwoodAustralia
  2. 2.Epworth HealthCareRichmondAustralia
  3. 3.Swinburne University of TechnologyHawthornAustralia

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