Life Cycle of Major Information Technology Implementation and Organizational Change

To understand how health information technology can be managed, you must understand the larger context of change. As the nation implements electronic health records (EHRs) in every hospital and medical practice,1, 2 EHRs become central to each organization’s operations. Therefore, the responsibility and need to sustain systems in a practice or hospital does not end with the initial implementation. Each organization will choose how to support and maintain their systems differently with varying leadership models, teams, and reporting structures. See Chapter 20 for a more detailed discussion on governance.

No matter the model of support, we have observed a very clear ...

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