ABSTRACT
Several countries are aiming to transform their health care delivery systems with unprecedented economic investments in their health information technology (IT) infrastructures. Concurrently, policy initiatives in India and elsewhere have called for technology implementation to enhance health care quality and access [1]. Despite this momentum and commitment of resources, the pace of health IT adoption initiatives has been slower and more variable than expected [2]. Globally, only a few organizations have achieved successful transformation of their systems [3,4]. Many health care settings are just now beginning their health IT journey while others are using health IT partially and still modifying their work processes to make health IT fit[5,6]. The unexpected slower pace of health IT adoption could partially be explained by challenges to successful health IT implementation within the workflow of a complex health care system. For example, a number of unanticipated problems, including issues with patient safety and provider productivity [7-10] have occurred with IT adoption.
