TY - JOUR
T1 - Making sausage--effective management of enterprise-wide clinical IT projects.
AU - Smaltz, Detlev H.
AU - Callander, Rhonda
AU - Turner, Melanie
AU - Kennamer, Gretchen
AU - Wurtz, Heidi
AU - Bowen, Alan
AU - Waldrum, Mike R.
PY - 2005
Y1 - 2005
N2 - Unlike most other industries in which company employees are, well, company employees, U.S. hospitals are typically run by both employees (nurses, technicians, and administrative staff) and independent entrepreneurs (physicians and nurse practitioners). Therefore, major enterprise-wide clinical IT projects can never simply be implemented by mandate. Project management processes in these environments must rely on methods that influence adoption rather than presume adoption will occur. "Build it and they will come" does not work in a hospital setting. This paper outlines a large academic medical center's experiences in managing an enterprise-wide project to replace its core clinical systems functionality. Best practices include developing a cogent optimal future-state vision, communications planning and execution, vendor validation against the optimal future-state vision, and benefits realization assessment.
AB - Unlike most other industries in which company employees are, well, company employees, U.S. hospitals are typically run by both employees (nurses, technicians, and administrative staff) and independent entrepreneurs (physicians and nurse practitioners). Therefore, major enterprise-wide clinical IT projects can never simply be implemented by mandate. Project management processes in these environments must rely on methods that influence adoption rather than presume adoption will occur. "Build it and they will come" does not work in a hospital setting. This paper outlines a large academic medical center's experiences in managing an enterprise-wide project to replace its core clinical systems functionality. Best practices include developing a cogent optimal future-state vision, communications planning and execution, vendor validation against the optimal future-state vision, and benefits realization assessment.
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M3 - Article
C2 - 2005089442
AN - SCOPUS:19844372009
SN - 1099-811X
VL - 19
SP - 48
EP - 55
JO - Journal of healthcare information management : JHIM
JF - Journal of healthcare information management : JHIM
IS - 2
ER -