First Advisor

Tugrul U. Daim

Term of Graduation

Spring 2023

Date of Publication


Document Type


Degree Name

Doctor of Philosophy (Ph.D.) in Technology Management


Engineering and Technology Management




Clinical Decision Support Systems, Hierarchical Decision Model, Technology Management



Physical Description

1 online resource (xiii, 242 pages)


Clinical Decision Support Systems (CDSS) are essential tools for healthcare organizations as well as for healthcare providers to improve clinical care. However, successful implementation of CDSS can be challenging. Therefore, before implementing CDSS, it is crucial to assess the readiness of healthcare organizations to implement these tools.

Through a literature review, the first step of this research explores the concept of clinical decision support and CDSS, discussing their features, characteristics, and organizational hurdles to implementation. It also provides perspectives on CDSS adoption in the context of Information Systems and Health Technology. The review helped identify research gaps, objectives, and questions.

To address these gaps and attempt to answer the research questions, a Hierarchical Decision Model (HDM) is proposed. The model allows us to assess the readiness of healthcare organizations for CDSS implementation. It presents four perspectives and sixteen criteria for a multi-dimensional assessment. The methodology involves expert panels for the HDM model's refinement, validation, and quantification.

Two case studies are then presented to demonstrate the HDM model's application in identifying real-world CDSS implementation challenges and providing insights and recommendations. The research contributions are evaluated against the identified gaps in the literature review, with limitations and future research presented.

In conclusion, this research provides valuable insights into CDSS implementation readiness assessment and highlights the need for careful consideration and planning. The proposed HDM model offers a valuable framework for healthcare organizations to evaluate their readiness for CDSS implementation.


©2023 Mohammed Oussama Laraichi

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