To review the current literature and discussion on institutional repository (IR) and open access (OA) issues, to provide examples from the Information Systems (IS) literature, and to propose the use of IS literature and further research to inform understanding of institutional repository implementations for library managers. Methodology/Approach: Recent literature is reviewed to provide the background to, and current issues in, the development of institutional repositories to support open access to refereed research output. Practical implications: Existing research is identified, as are areas for potential research. Brief examples from IS literature are provided which may provide strategies for libraries and other organisations to speed up their implementation of IR to provide access to, and management of, their own institutions refereed research output. Value of paper: The paper brings together recent opinion and research on IR and OA to provide librarians and other information managers with a review of the field, and proposes research on IR and OA building on existing IS as well as information management and librarianship research.