ABSTRACT

The third edition of HIT or Miss: Lessons Learned from Health Information Technology Projects presents and dissects a wide variety of HIT failures so that the reader can understand in each case what went wrong and why and how to avoid such problems, without focusing on the involvement of specific people, organizations, or vendors. The lessons may be applied to future and existing projects, or used to understand why a previous project failed. The reader also learns how common causes of failure affect different kinds of HIT projects and with different results.

Cases are organized by the type of focus (hospital care, ambulatory care, and community). Each case provides analysis by an author who was involved in the project plus the insight of an HIT expert. This book presents a model to discuss HIT failures in a safe and protected manner, providing an opportunity to focus on the lessons offered by a failed initiative as opposed to worrying about potential retribution for exposing a project as having failed. Access expert insight into key obstacles that must be overcome to leverage IT and transform healthcare.

Each de-identified case study includes an analysis by a group of industry experts along with a counter analysis. Cases include a list of key words and are categorized by project (e.g. CPOE, business intelligence). Each case study concludes with a lesson learned section.

part I|2 pages

Hospital Care Focus

chapter Chapter 3|3 pages

Putting the Cart before the Horse: IDN Integration

chapter Chapter 7|4 pages

When Value Endures: Legacy Data Viewer

chapter Chapter 8|4 pages

Usability Reigns Supreme: Medication Alerts

chapter Chapter 9|3 pages

A Mobile App That Didn’t: Antibiotic Approvals

Edited ByDavid Leander

chapter Chapter 18|3 pages

How Many Is Too Many: ICU Data Capture

Edited ByKai Zheng

chapter Chapter 19|4 pages

Simultaneous Systems Migration: Fetal Monitoring

chapter Chapter 20|3 pages

Notification Failure: Critical Laboratory Result

Edited ByKarl Poterack

chapter Chapter 23|4 pages

A Single Point of Failure: Protecting the Data Center

Edited ByBonnie Kaplan

chapter Chapter 24|3 pages

Vendor and Customer: Single Sign-On

Edited ByJustin Graham

chapter Chapter 29|4 pages

Shortsighted Vision: CPOE after Go-Live

chapter Chapter 31|3 pages

When to Throw in the Towel…ED Downtime

part II|2 pages

Ambulatory Care Focus

chapter Chapter 33|6 pages

All Automation Isn’t Good: CPOE and Order Sets

chapter Chapter 34|4 pages

Start Simple…Maybe: Multispecialty EHR Rollout

Edited ByEric Poon

chapter Chapter 35|3 pages

It’s in the EHR…but Where?: Patient Records

Edited ByDavid Leander

chapter Chapter 36|5 pages

All Systems Down…What Now?: Ambulatory EHR

chapter Chapter 38|4 pages

104 Synergistic Problems: An Enterprise EHR

Edited ByEric Rose

chapter Chapter 39|4 pages

What Defines “Failure”: Small Practice EHR

part III|2 pages

Community Focus

part IV|2 pages

Points of View