Abstract
Recent large-scale changes prompted by the U.S. Affordable Care Act (ACA) have required many healthcare organizations to implement new information technology (IT) platforms as a means to effectively manage and adhere to the compliance mandates. In this paper I posit that policy implementation requires two types of artifacts: policy text documents dictating the federal mandates and technology tools through which people can actually perform a policy. To this point, I conceptualize policy implementation in organizations as a process of translation that constitutes both policy text and technology that are constitutively entangled. In the study, I observe how management translates a federally initiated policy into organizational policies and subsequently designs a new technology to support compliance with those policies. Taken together, the findings illustrate how technology and policy artifacts are shaped through communication.
Published Version
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