Date of Conferral

6-30-2025

Degree

Doctor of Information Technology (D.I.T.)

School

Information Systems and Technology

Advisor

Gary Griffith

Abstract

Healthcare IT managers experience significant challenges while leading remote teams, as they must maintain secure communication practices and regulatory compliance while achieving high-performance standards. Organizations without proper strategies face data breaches and productivity losses that harm operational performance and patient care, leading to legal troubles and reputational harm. Grounded in adaptive structuration theory (AST), this qualitative pragmatic study explored successful remote team management strategies among U.S. healthcare IT managers with five or more years of experience. AST provided the theoretical lens to examine how technology and organizational structures interact in distributed work environments. Interviews with six participants were analyzed thematically to identify recurring patterns. Three key themes emerged: strategic technology integration, distributed accountability engineering, and cognitive and cultural agility. Findings underscored the importance of adaptive infrastructure and inclusive leadership supported by real-time system observability. The study recommends integrating advanced technologies such as artificial intelligence for IT operations (AIOps), edge computing, NLP-based auto-triage, feedback-driven development, and cross-functional teams to boost performance, compliance, and collaboration in remote healthcare IT teams. A compliance-first, feedback-driven leadership model is proposed to align advanced technologies with regulatory standards and workforce development. Implications for social change include opportunities for healthcare IT leaders and policymakers to improve digital health service access and reliability in underserved rural areas through resilient, inclusive infrastructure planning.

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