ABSTRACT
A nationally prominent academic health system awarded a contract for single sign-on (SSO) and context management (CM). The health system was implementing new electronic health record features including computerized provider order entry, and the chief information officer (CIO) wanted to improve clinician workflow with SSO and CM first. The health system’s CIO, a clinician, delegated the project to a junior, nonclinical, information technology (IT) manager and directed the vendor team to work with the designee and the IT team. The IT manager had a background in security technology but little experience in healthcare IT and had favored a different solution during the selection process. The vendor team and the health system IT team disagreed about how to implement different functions of the SSO and CM technologies and which approaches would be preferable or even acceptable to clinicians, such as the speed-performance requirements for the SSO and CM software.
