Generativity practices in EHR implementation: A case study of the transition from design to usage

Abstract

While generativity has become a central topic in the development and evolution of digital platforms, there are relatively few empirical studies of the implications for the practices involved in platformization. In this paper, we explore the concept of socio-technical generativity in the context of a large-scale platformization project in the healthcare sector. We investigate the transition from design to use, and how the process of generativity changes. Our preliminary findings show that generativity is a continuous process that is not limited to existing affordances in the platform and that the controlled top-down practice in design is split into parallel ad hoc practices in use. We discuss challenges related to scale and interconnections as well as the role of the management in generative processes.