Anchor practices that guide horizontal performance measurement: an interventionist case study of the financial aspect of new technology implementation in healthcare

Abstract

With the demand for elderly care increasing in many countries, digital technologies offer the potential for organising such care while also increasing value for money. However, public administrators need tools to make sense of their own complex environment and the possible impacts of new technologies. The current paper examines this issue by applying horizontal performance measurement, where practitioners can give financial value to issues that span across many functions and thus avoid sub-optimisation. We use an interventionist case study to illustrate a situation in which a Nordic city attempted to calculate the financial impact of introducing new digital technologies into elderly care. As our contribution to the literature on horizontal performance measurement, we show how economic (financial) and wellbeing anchors influence horizontal performance measurement in a healthcare digitalisation project. We also contribute to the development of our method theory, i.e., anchor practices, by providing evidence of the usage of multiple simultaneous anchors and make a methodological contribution by showing that interventionist researchers can support operationalising anchor practices.