Information Technology Project Management "System thinking"

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In this article, Baker (2004) discusses the use of Epic Systems Corporation software for patient record keeping in the health industry, focusing on Evanston Northwestern Healthcare in Illinois. The author gives the results of an interview with the chief information officer (CIO) of the company, Tom Smith, who discusses the company's updated use of information technology as a management achievement.

Introduction

Although Smith says that their 6000-plus health care workers participated in the system's development and implementation, I have found no details on just how this came about. Baker describes the need for the staff to have an ID and password before they could treat hospital patients. Improvement in services, especially pharmacy, is also mentioned, as well as a faster time to get test results in other departments such as X-ray. What isn't mentioned are the obstacles met and resolved during implementation of the new technology. Baker does say that, according to Smith, other systems, not referred to by name, were studied and found to be lacking, and the reason for one failure was because staff usage was voluntary, and not enough people signed up to use it. This is the only reference to an obstacle. Baker says that Smith attributes the success of Epic at ENH to the commitment of management to make it a priority. In fact, most of the credit is given to management, even though cooperation of staff appeared to be very much a contributing factor. ...
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