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Prior research has examined factors that motivate executives in general to seek advice from external peers. The literature is silent however regarding what IT governance mechanisms motivate CIOs to mindfully seek advice in their external advice networks. Our research shows that simply applying the advice of the prior literature in the CIO and IT governance context can be counterproductive. We analyze data from a survey of 99 municipal corporations to show that an effective configuration of IT governance mechanisms fits and changes over time with the firm's financial performance and state of IT enactment. The lessons learned are instructive for practitioners, while also highlighting the importance of attending to context in IT governance research.

For more than a decade, healthcare reform has emphasized coordinated “patient-centered care”. To that end, policymakers have invested in integration of healthcare providers’ information flows. Research has studied healthcare providers’ information needs but overlooked communicative exchanges among participants in coordinating treatment plan decisions. Consequently, although medical literature asserts that patients should depend on information exchange with healthcare providers to enable participation in treatment plan decisions, the assertion has not been tested. In this paper, the authors conduct an empirical study to elucidate the structure of actors’ communications in support of their information dependencies. The findings illustrate that although patients are well connected through personal contact with healthcare providers, patients are disenfranchised from integrated healthcare information systems (IS) and the potential of IS to support patients’ participation in coordinated “patient-centered care” decisions. Furthermore, knowledge asymmetry between patients and healthcare providers should be considered in the selection and design of healthcare IS.

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