...IT Project Implementation Failures Tracy Grainger HCS/483 September 19, 2011 Billy Kesserwani IT Project Implementation Failures The IT implementation process begins after an acquisition process. The acquisition process requirements are examined, the request for the proposal is sent, the vendor is chosen and contracts are negotiated and signed. When these parts have been finished the implementation can begin. During the beginning of the implementation the project has to be planned out ahead of time, a team must be selected and the best must be chosen, but problems should always be expected to happen along the line. Some of the IT problems that occur can often be prevented if you are paying close attention. In this particular case study, the implementation process seems to be working well. Dryer and Roberts decided to obtain a CPOE system running for their staff to use. Problems occur when the stakeholders in the faculty believed the system would only be more work for them and would not be very useful to their organization. This is the first sign to indicate a problem is happening. This is the first IT failure within the company. The organization and stakeholders must believe that the system is worth having, be willing to work with it, and believe in the help it will have for the organization. If the stakeholders think the system will fail ultimately then it will fail. They will not work and put forth the effort into the implementation process and training. Dryers and...
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...Implementation Failures Miranda Presley HCS/483 December 19, 2011 Professor Vincent Wesley Implementation Failures Introducing a new method or a new system into an already efficient information system can encounter a lot of challenges. In the field of healthcare information systems, the challenges go from improper planning to unsupportive stakeholders. Several challenges could possibly turn into implementation failures. When the implementation process begins, a numerous amount of things could intentionally start to go downhill because there are a lot of people and factors participating that may not function well with one another. A successful implementation of a healthcare information system is one that attains its goals, but it is surprising how many healthcare organizations attempt the implementation process with unidentified, immeasurable, and vague goals. Reading the case study of Memorial Health Systems, several indicators played major roles in the Clinician Provider Order Entry System failing. Additional indicators such as the Lack of Clarity of Purpose, Lack of Belief in the Project, Insufficient Leadership Support, Invisible Progress and Lack of Technology, Stability and Maturity would cause the project of implementing the CPOE system to fail if not implemented correctly. As difficult as it may be too actually travel through these possible failures, project failures like the issues mentioned in the case study, such as the CPOE system could be avoided. The healthcare...
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...Implementation Failures Marsha M. Alexander HCS/483 October 4, 2010 Kym Pfranks Implementation Failures Introducing a new system or a new method into an already effective system can meet multiple challenges. In the area of health care information systems these challenges range from unsupportive stakeholders to improper planning. Any number of challenges can lead to system implementation failure. Memorial Health Systems In the case study of Memorial Health Systems, factors such as lack of belief in implementing a Clinician Provider Order Entry (CPOE) system factored into the failure of this project. Additional factors such as failure to respect the uncertainty of a project, underestimating the necessary resources or using a little resources as possible, a lack of candor, and not anticipating the possible disruptions that can be caused by implementing a new system can also lead to failure. When Memorial Health Systems began the project of implementing the CPOE system many of the physicians on staff felt that the CPOE would double his or her workload. One way to help the physicians on staff understand and believe in the system would be to have an IT consultant address the staff and explain the CPOE as well as answer questions. Memorial Health Systems also under budgeted when the original implementation of the CPOE began. This may have been a result of rushed findings to hurry the implementation along. When implementing a new system of this magnitude...
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...Implementation Failures Miranda Presley HCS/483 December 19, 2011 Professor Vincent Wesley Implementation Failures Introducing a new method or a new system into an already efficient information system can encounter a lot of challenges. In the field of healthcare information systems, the challenges go from improper planning to unsupportive stakeholders. Several challenges could possibly turn into implementation failures. When the implementation process begins, a numerous amount of things could intentionally start to go downhill because there are a lot of people and factors participating that may not function well with one another. A successful implementation of a healthcare information system is one that attains its goals, but it is surprising how many healthcare organizations attempt the implementation process with unidentified, immeasurable, and vague goals. Reading the case study of Memorial Health Systems, several indicators played major roles in the Clinician Provider Order Entry System failing. Additional indicators such as the Lack of Clarity of Purpose, Lack of Belief in the Project, Insufficient Leadership Support, Invisible Progress and Lack of Technology, Stability and Maturity would cause the project of implementing the CPOE system to fail if not implemented correctly. As difficult as it may be too actually travel through these possible failures, project failures like the issues mentioned in the case study, such as the CPOE system could be avoided. The healthcare...
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...It Project Implementation Failures HCS/483 HEALTH CARE INFORMATION SYSTEMS October 4, 2011 Ms. Mary Anne Moore It Project Implementation Failures The purpose of this report is to identify five indications for the Information Technology (IT) project implementation failure of the Memorial Health System. This repost will also describe for each indicator of failure, what could be done differently to avoid or eliminate the effects of the indicators in the future. DEFICIENCY OF CLARIFICATION If the purpose and objectives for implementing IT into an organization is not made clear and concise then there will be resistance. Meaning if it is not made abundantly clear to leadership and staff (steering team) how the (in the case of Memorial Health System) Computerized physician order entry (CPOE) system will be used to improve healthcare and reduce medical error, the initiative will be doomed from the very start. TO ABATE OR AVOID THIS POSSIBLE OUTCOME Ensure that all employees whose jobs will be directly affected by implementation of the CPOE are thoroughly informed of goal, objective, and expectations of what the perspective technological advancement entails. INADEQUATE CONFIDENCE IN THE PROJECT One of the major problems implementing the CPOE at the Memorial Health Systems was that physicians did not feel confident that the CPOE would aid them, instead add onto their work load. If physicians that work in a hospital have no confidence that a prospective process will...
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...IT Project Implementations Failures Joseph Garcia HCS/483 7/4/2011 Eric Rios IT Project Implementations Failures There are many factors that play into failures of implementing an IT project. As in the Case Study – Memorial Health System CPOE Implementation there were clearly barriers set in place that affected leadership and staff. The purpose of this paper is to examine CPOE implementation barriers within the Memorial Health System and to determine possible methods to overcoming these challenges. Any project or initiative is destined for trouble if its objectives and purpose are unclear. One of the many barriers present was the lack of vision shared within the organization between the physicians and management. They worried their workload would increase because CPOE systems replace verbal orders with computer-entered orders by doctors. Dr. Mark Allen, a primary care physician commented, “The hospital is trying to turn me into a $12-an-hour secretary and they aren’t even paying me $12 an hour.” (Wager, Lee, & Glaser, 2009) The desire to obtain a shared vision as a whole should have resulted in a presentation of what the purpose of the CPOE initiative was intended to achieve. As was the result when some of the doctors that had not left the system attended the CPOE vendor’s annual user group meeting. They saw the release of the vendor’s most recent system and immediately decided they wanted it for Memorial. Another concern with the project was the leadership put in...
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...IT Project Implementation Failures Shana Pardue HCS/483 July 18, 2011 Dr. Michael Solomon IT Project Implementation Failures “Many projects have been subject to considerable delay, increasing budget deficits, and in some cases, severely negative impacts on the quality and effectiveness of care” (Murray et al, 2011, p. 2). Memorial Health System (MHS) is dealing with lack of candor, lack of belief in the project, project complexity, inability to anticipate short-term disruptions, and lack of technology stability and maturity while implementing a clinician provider order entry (CPOE) system (University of Phoenix, n.d.). These potential failures can be avoided with proper planning and integration. Not realizing the complexity of the project is a failure that MHS made while implementing the CPOE program (Wager, Lee, & Glaser, 2009). MHS has eight hospitals with a minimum of 2,600 beds (University of Phoenix, n.d.). An alternate route to implementing into all eight sites at once would be to select one site to implement the program into. The needs at each site may be different due to locality and patients, so it would benefit all involved to handle each site separately. Lack of belief in the project is the next failure that MHS has dealt with (Wager, Lee, & Glaser, 2009). MHS has a lack of full support from the stakeholders (University of Phoenix, n.d.). “Projects that are viewed as illegitimate by a large portion of the people in an organization rarely succeed”...
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...IT project implementation failures Annette HCS/483 March 16, 2015 Jose L. Rivera IT project implementation failures Introduction Memorial Health System is an eight-hospital health system in the Midwestern United States. The hospitals range in size from 200 to 700 beds. Four years ago, the health system began a board-approved computerized provider order entry (CPOE) implementation. The project was a major failure after having experienced poor support from leadership, a lack of appropriate resourcing, leadership and staffing changes, exceeding budget and time, and last minute changes to the scope of the project. There are processes that should be followed in an information system implementation. Not adhering to typical procedures can lead to project failure. This paper will describe reasons for failure, as well as ways to minimize project failure. IT Implementation. The typical information technology implementation process begins with an identification of a need. A committee can be formed and charged with finding a solution. This committee develops the project objectives including the methodology for selecting a system. Next, define the system goals and create a timeline for the committee activities. For example, the committee will be selecting a system for CPOE. The committee will meet weekly for the next eight weeks to create and document the goals of the project and what needs to occur at each step in the selection process. The committee then identifies...
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...Memorial Health System CPOE Implementation Anthony Marshall Health System Care Information System/ HCS 483 27 October 2013 Kemuel Prince Memorial Health System CPOE Implementation Introducing a new system or a new method into an already effective system can make multiple challenges. In the area of health care information system these challenges range from unsupportive stakeholders to improve planning. Any number of challenges can lead to system implementing a new health care information system, having multiple opinions and different methods available can be an added bonus. However, or listening to these opinions or simply vetoing possible alternatives can have severe negative effects further down the road during the actual implementation process. IT Initiative Failures In the case study of Memorial Health Systems, factors such as lack of belief in implementing a Clinician provider order entry CPOE system factored into the failure of this project. Additional factors such as failure to respect the uncertainty of a project, underestimating the necessary resources or using a little resource as possible, a lack of candor, and not anticipating the possible disruptions that can be caused by implementing a new system can also lead to failure. When Memorial Health Systems began the project of implementing the CPOE system many of the physicians on staff felt that the CPOE would double his or her workload. One way to help the physicians on staff understand and believe in...
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...IT Project Implementation Failures Danielle Washington HCS/483 March 13, 2012 Chip Snyder IT Project Implementation Failures For every type of technology there is also a type of failure to go along with it. The failure rate of the IT project implementation is outstandingly high. There are about thirteen different types IT project failures. Those failures consist of but not limited to lack of clarity of purpose, lack of belief in the project, insufficient leadership support, and organization inertia. Other failures are organizational baggage, lack of appropriate reward system, lack of candor, perplexity complex failure, and failure to respect uncertainty. The remainder of those failures is initiative undernourishment, failure to anticipate short-term disruptions, invisible progress and lack of technology stability and maturity. In the following paragraphs five of these failures will be highlighted in regards to the Memorial Health System CPOE Implementation case study. The first failure highlighted is lack of belief in project. This is when the organization not convinced that the project is worth doing at all and in turn brings forth resentment (Wager, Lee, & Glaser, 2009). In the case study when the CPOE was brought before everyone the project was considered controversial. If I was CEO I would have proposed it then took a vote to see what the outcome would be and let everyone voice their opinion and then take everything into consideration before making a...
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...IT Project Implementation Failures Debra Carr HCS/483 August 7, 2014 James Thames IT Project Implementation Failures The typical information technology (IT) implementation begins once the health care organization has the IT system in place in the building and continues through the first weeks that the IT system is in real time use by the employees. The implementation process must be carefully planned, organized, announced to all employees, and followed closely throughout the following weeks while the IT system is installed. It is important for the management team to announce the IT project. The reason for the project, why the project is being implemented now, and the benefits of the project need to be communicated to all the employees. The CEO or COO should make the initial announcement so that all the employees understand that the project is approved at the top level. The CEO needs to display confidence and pride concerning the entire process. Once the instillation begins and throughout the process, the CEO should continue to update the employees on the progress of the project and any problems that are encountered. He should talk about his vision of the successful completion of the project and how it will benefit both the employees and the health care company. The senior executive should announce the establishment of an Implementation Team which will plan, manage, budget, and coordinate the IT project. The goals and objectives must be established. This...
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...IT Project Implementation Failures Tracy Wells HCS 483 January 9, 2012 Denise Hines IT Project Implementation Failures Lack of Communication Poor communication is a reason for failure for the CPOE implementation. With lack of communication other employees or employers within the organization will not know how to handle a situation if one should occur, due to the lack of the leader not showing or explaining to the employees on what to do, when implementing a new project. New initiative may be outlined but not communicated throughout the organization as to how the new project works. Expectations and opinions are not shared openly, thoroughly, and effectively so this could cause problems for the organization (Johnson, 2002). What I would do To keep the CPOE implementation from failing I would come up with a way to communicate for instance I would set up monthly, weekly or daily meetings, set up a way so that employees will receive e-mails about the new CPOE implementation, use e-mail to set up classes, have a power point presentation prepared for a meeting, could use verbal language, written language, and send out memos to all employees who are going to be directly working with this new implementation so they would have an understanding of the how the system works. Lack of Leadership Lack of Leadership in an organization is cause of failure, without leadership there is no one to train the employees on how this new CPOE system is going to work or run. Employees do not...
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...Analysis of Case Study Christopher Rubio Week 4 HCS/483 When ever an organization is thinking of implementing a New It Initiative they must ensure that they are well organized and fully understand the length and time a project may take. According to Cook “ Project failure occurs when a project is significantly over budget, takes must longer than estimated timeline, or has to be terminated because of so many problems have occurred that proceeding is no longer judged to be viable.” With Memorial Health System failed implementation of a CPOE system they had many problems including an over budgeted project, Lack of belief in project, Insufficient leadership support, Failure to respect uncertainty, Failure to anticipate short-term disruptions, and initiative undernourishment. In this paper we will discuss all six of these problems along with give possible solutions to each of them. Failure to respect uncertainty: When the system was finally implemented it was had a lot of bugs in the system. They implemented the system at all of facilities. Because of this as well as a few other issues such as lack of training the system was taken offline and they continued with the old system. The solution to this problem would have been to implement the system in one location instead of the entire hospital. This place can be used as the test facility in which you can do two things. One you can work all the bugs out and the other would be to use it as a training facility where you can send...
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...Case Study—Memorial Health System CPOE Implementation Mischa Ponzio HCS/483 Bill Kesserwani 10/13/13 The typical IT implementation process starts with the review all current workflows and processes that are in place currently .The role that this step takes is to insure that system installation is done properly Looking at current system configuration and see how integrating CEOP program into the current process. Deciding on a vendor in which offers the CEOP software that is compatible to your organizations mission. Preparing a testing area to be able to work out any issues prior to going live, update the IT infrastructure by implementing the new CEOP interface, test program once it has been intergraded into current infrastructure for issues Training the staff on the new CEOP program as well as update any training manuals for future employees, Conversion: getting the data into sink with current workflow or processes and then once again test for issues. Communications: set up a method in which it can be communicated when problems or concerns arise and keep in constant communication with the groups of individuals that are assisting in this implementation process. The final step is to Preparation for go-live date in doing this make sure that its not done on the most busiest day when day arrives insure that enough employees are available continue with the communication method to inform of issues and correction process and review the results of the redesign. How did the process...
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...Monica Savage HCS/483 August 4, 2012 Renee Gorby Case Study: IT Project Implementation Failures The case study of the Memorial Health System and their CPOE implementation poses many issues that contributed to their IT failure. The first issue I noticed was the unrealistic timeline developed by the original champions Dryer and Roberts. Dryer and Roberts planned to execute their new IT among eight hospitals in less than eighteen months. With their failure to respect uncertainty from members of the discussion board, they demanded and rushed results from their clinical and IT team. This resulted in a rushed out requirements analysis, request for proposal quickly issued, and a rush to select the vendor and signing the contract. When the original champions were replaced by Lu and Sparks, I initially thought they were capable of successfully pulling off implementing this system even in the short timeframe. They would probably have been successful if Sparks did not lack candor. The executive project manager, Martin, had a perfectly thorough and detailed a project plan that most likely would have guided the organization to success if they followed her suggestions. Spark’s lack of candor and anger to Martin’s project plan lead her to lie about the truth and withhold important progress information on the project. At the end of the eighteen month timeline, the go live date resulted in failure due to all of these issues. With an organization like ours, there are several...
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