Complexities of a Provincial CIS Implementation: Thinking Beyond Scale

CIS implementations are complex processes involving numerous teams, planning changes to both business and technical processes, and extensive change management. The complexity of implementation increases exponentially when dealing with implementation across an entire province rather than just a single site implementation. This paper addresses the One Person One Record Program in Nova Scotia, Canada where a single CIS will be implemented across the entire province involving 47 acute care facilities and 1400 individual ambulatory clinics. Developing and delivering localized role-specific training to end users is directly affected by the extensive arrange of unique user roles and is part of the complexity in this transformation program. Challenges arising from the additional complexity will be shared as well as lessons learned to support the implementations of future leaders with plans to lead such transformations in their own regions.