CHAPTER 2

Previewing the Transformation—Paving the Road to Success

“Would you tell me, please, which way I ought to go from here?”

“That depends a good deal on where you want to get to,” said the Cat.

“I don’t care where—” said Alice.

“Then it doesn’t much matter which way you go,” said the Cat.

“—so long as I get somewhere,” Alice added as an explanation.

“Oh, you’re sure to do that,” said the Cat, “if you only walk long enough.”

—Lewis Carroll, Alice’s Adventures in Wonderland, 1869

Putting the Project in Perspective

In 2002, the United Kingdom (UK) undertook an initiative to overhaul the record-keeping component of the National Health Service (NHS). With the laudatory goals of transitioning to a nationally integrated system of electronic ...

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