Information Technology & Organizational Design: A Longitudinal Study of Information Technology Implementations in the U.S. Retailing Industry, 1980–1996

1998 ◽  
pp. 251-286 ◽  
Author(s):  
Arie Y. Lewin ◽  
Starling D. Hunter
Keyword(s):  
Information Technology ◽  
Longitudinal Study ◽  
Organizational Design ◽  
The U.S

scholarly journals Reflective Choice in Health Care: Using Information Technology to Present Allocation Options

1999 ◽  
Vol 25 (2-3) ◽  
pp. 387-402
Author(s):  
Arti K. Rai
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care System ◽  
Medical Technology ◽  
Health Benefit ◽  
Cost Benefit ◽  
Alternative Funding ◽  
Health Care Interventions ◽  
The U.S ◽  
Care System

Over the last few decades, the U.S. health care system has been the beneficiary of tremendous growth in the power and sheer quantity of useful medical technology. As a consequence, our society has, for some time, had to make cost-benefit tradeoffs in health care. The alternative—funding all health care interventions that would produce some health benefit for some patient—is not feasible, because it would effectively consume all of our resources.

Benefits and Barriers to Adoption of Information Technology in US Healthcare

2011 ◽  
pp. 133-145 ◽  
Author(s):  
James G. Anderson
Keyword(s):  
Information Technology ◽  
Clinical Data ◽  
Data Privacy ◽  
Data Exchange ◽  
Developed Countries ◽  
Convincing Evidence ◽  
Electronic Prescribing ◽  
And Performance ◽  
Legal Barriers ◽  
The U.S

Information technology such as electronic medical records (EMRs), electronic prescribing, and clinical decision support systems are recognized as essential tools in all developed countries. However, the U.S. lags significantly behind other countries that are members of the Organization for Economic Cooperation and Development (OECD). Significant barriers impede wide-scale adoption of these tools in the U.S., especially EMR systems. These barriers include lack of access to capital by healthcare providers, complex systems, and lack of data standards that permit exchange of clinical data, privacy concerns and legal barriers, and provider resistance. Overcoming these barriers will require subsidies and performance incentives by payers and government, certification and standardization of vendor applications that permit clinical data exchange, removal of legal barriers, and convincing evidence of the cost-effectiveness of these IT applications.

Understanding the Context of Large-Scale IT Project Failures

2012 ◽  
Vol 5 (2) ◽  
pp. 1-24 ◽  
Author(s):  
Eliot Rich ◽  
Mark R. Nelson
Keyword(s):  
Information Technology ◽  
Large Scale ◽  
Management Model ◽  
It Projects ◽  
Dramatic Effect ◽  
Systems Perspective ◽  
Project Failures ◽  
Project Characteristics ◽  
It Application ◽  
The U.S

Large-scale information technology (IT) projects experience higher failure or abandonment rates than smaller IT projects and represent significant costs to both organizations and society. This paper describes the context of a three-decade long attempt to modernize a critical IT application in the U.S. government. The project has been revamped, stopped and restarted several times, and as of the writing of this paper has not been completed. Archival analysis of this implementation history reveals a set of emerging project characteristics and how these contributed to a pair of capability gaps which, in turn, influenced modernization efforts both pre- and post-abandonment. From a systems perspective, the problem appears to be related to dynamic and repeating management failures with an embedded project management model. The authors illustrate their hypothesis with a simulation model of project managements and show that even a relatively small but persistent introduction of new requirements has a dramatic effect on project overruns, setting the stage for abandonment and restart.

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