Tag Archives: change management

Folding in the Internet of Things (IOT)

Technology innovation doubtlessly enables us to provide more data, in real time, at the point of clinical decision-making. Until now, most of this innovation is “internal” HIT and its associated data created in our care delivery organizations, like lab test results, imaging studies or written impressions of a physician’s clinical … Read More

Posted on December 2nd, 2015 in Innovating Health Care IT
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The Parable of the Broken Window

Despite our best efforts to the contrary, we all know, expect and often dread unintended consequences associated with Health Information Technology (HIT). The French economist Frédéric Bastiat offers a classic example of our experience with these consequences in his “broken window” parable that goes like this: A shopkeeper’s son accidentally … Read More

Posted on November 25th, 2015 in Innovating Health Care IT
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A Tale of Four Cultures

This entry is part 2 of 2 in the series When Worlds Collide: The Cultural Side of HIT Failure

In an insightful essay 1 Chuck Friedman, a physicist and educator, described his growing interest in the “soft side” of informatics. He observed that solid code and reliable systems were often insufficient to successfully adopting HIT in clinical environments. Even with the best of technologies, “people” got in the way … Read More

Posted on January 12th, 2013 in Innovating Health Care IT
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The Culture of HIT Implementation

This entry is part 1 of 2 in the series When Worlds Collide: The Cultural Side of HIT Failure

“An account of technology’s frustrations can start anywhere, but sooner or later it leads to medicine.” – Edward Tenner In his book, Why Things Bite Back, Edward Tenner thoughtfully articulates what he calls the “revenge effects” – the unintended consequences that so often arise as we continue our relentless Information … Read More

Posted on January 5th, 2013 in Innovating Health Care IT
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