Revenue Cycle Management in the Wake of EMR Implementation: A Competing Logics Perspective

The health information technology (HIT) literature has focused on how healthcare organizations use electronic medical record (EMR) systems and other clinical IT for care delivery coordination. However, few studies have examined implementation of these technologies impact the organizations’ revenue cycle management (RCM) consequent financial sustainability. Against that backdrop, we draw institutional logics perspective to analyze experiences from two action research engagements leveraged EMR implementations in clinics improve RCM. As a result, identify four coexisting yet competing logics—logic care, logic business, management, technology—that shaped addressed challenges their cycle. While transformed practices exchanges, clinics’ RCM wake implementation. We conclude with contributions practice.