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Related Experiment Videos

Lessons from a failed information systems initiative: issues for complex organisations.

G Southon1, C Sauer, K Dampney

  • 1Health Management Research and Analysis, Caringbah, NSW, Australia. gsouthon@ozemail.com.au

International Journal of Medical Informatics
|September 2, 1999
PubMed
Summary
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Organizational issues significantly impact information technology (IT) success in large, distributed health systems. Understanding these complex factors is crucial for effective IT implementation and avoiding system failures.

Area of Science:

  • Health Informatics
  • Organizational Studies
  • Information Technology Management

Background:

  • Organizational issues are critical for effective information technology (IT) adoption.
  • Large, complex, and distributed organizations present unique challenges for IT implementation.
  • Previous IT implementations in public health services have faced significant hurdles.

Purpose of the Study:

  • To extend the understanding of organizational issues in IT implementation within large, complex, distributed organizations.
  • To analyze the failure of a statewide IT system implementation in a major state public health service.
  • To identify key factors contributing to IT system failure in such environments.

Main Methods:

  • Analysis of a case study involving the failure of a large IT system in a public health service.

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  • Examination of organizational factors, including structure, decision-making, incentives, and skills management.
  • Review of the interaction between organizational characteristics and IT implementation strategies.

    • Main Results:

    • The failure was attributed to a complex interplay of organizational issues not typically considered in IT implementation strategies.
    • Key issues identified include organizational nature, decision-making processes, differing incentives across levels, program ownership, skills management, and environmental instability.
    • The study highlights the challenges posed by the unique environment of large, complex, distributed organizations.

    Conclusions:

    • Effective IT implementation in large, distributed health organizations requires a deep understanding of their specific environmental and organizational complexities.
    • Decentralized IT management and the advantages of common systems warrant further consideration.
    • A proposal is suggested for managing IT developments while preserving essential system commonality.