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Just a beta....

K S Lytle1, D W Bailey, K F Dorman

  • 1University of North Carolina Hospitals, Chapel Hill, USA.

Proceedings. AMIA Symposium
|November 24, 1999
PubMed
Summary
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Implementing a knowledge-based clinical information system can be streamlined by adopting a flexible, non-traditional project management approach. This method enhances communication and leadership for better system integration.

Area of Science:

  • Health Informatics
  • Information Systems Management
  • Hospital Administration

Background:

  • Traditional clinical information system (CIS) implementation involves lengthy, predictable project management phases.
  • These phases include system selection, development, implementation, and evaluation, demanding significant resources.
  • A less traditional approach was explored for a knowledge-based CIS in a hospital specialty area.

Purpose of the Study:

  • To describe a non-traditional beta site implementation of a knowledge-based CIS.
  • To compare this approach with the hospital's traditional process.
  • To identify key findings and lessons learned from the experience.

Main Methods:

  • A non-traditional project management process was utilized for CIS implementation.

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  • Key elements like communication, responsibility, training, follow-up, and leadership were approached differently.
  • The study involved a beta site implementation in a specialty area of a southeastern hospital.
  • Main Results:

    • The non-traditional approach altered standard procedures for communication, responsibility, training, follow-up, and leadership.
    • Preliminary analysis indicates that the choice of implementation process is highly contextual.
    • Combining elements from traditional and non-traditional methods may yield a more effective process.

    Conclusions:

    • Implementation process selection for clinical information systems should be context-dependent.
    • A hybrid approach, integrating elements from both traditional and non-traditional methods, may offer improved utility.
    • Further research focusing on common elements like communication and leadership is warranted.