Interesting review of the impact of IT investment by hospitals. Bottom line- without business process improvement better tech doesn't help. That jives with work by Brynjolfsson & Saunders that real value lies in improving business process and tech in tandem, whereas the former in practice tends to lag the latter by many years.
My own two cents: Process improvement can't be done by IT folk. You can't properly re-engineer someone's business if you don't know it, and by the time IT folks learn it the tech will be outdated. Better to put a system up fast, and then give the people who actually do the work pathways and incentives to improve their own processes. Let it evolve, with supervision. It's easier to teach them a little tech then teach a tech person a lot of [whatever].
My own two cents: Process improvement can't be done by IT folk. You can't properly re-engineer someone's business if you don't know it, and by the time IT folks learn it the tech will be outdated. Better to put a system up fast, and then give the people who actually do the work pathways and incentives to improve their own processes. Let it evolve, with supervision. It's easier to teach them a little tech then teach a tech person a lot of [whatever].
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