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IT Disasters ： The Worst Debacles and Lessons Learned From Them. Course Name ： Health Care Management Professor ： Chen-Chung Ma Student ： Yu-Chia Li Student number ： 9651002M Date ： 2008/03/19. Summary. Most articles discuss successes about IT — lower costs and improve outcomes
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Course Name：Health Care Management
—lower costs and improve outcomes
— frustrating、costly and can paralyze
Drag Out Implementations
Lesson 1：Manage Vendors and Understand Their Motives (1/4)
－ would work closely to develop a shared
vision of project goals and outcomes.
maximizing earnings is a priority.
Lesson 1：Manage Vendors and Understand Their Motives (2/4)
－ a fixed endpoint and costs
Lesson 1：Manage Vendors and Understand Their Motives (3/4)
－ vendors used as an excuse to garner a large
project , increasing its revenue and earnings
from the expense of the hospital.
Y2K 就是 year 2 kilo，也就是西元2000年的意思。Y2K是由電腦年序問題所引起。因為早年的電腦軟硬體設計都是由末兩位數來代表西元的年份，於是電腦便以兩位數來做為運算的基礎。當面臨2000年，避免年序變成00以造成系統產生辨識錯誤，以致發生不可預期的連鎖效應。
Lesson 1：Manage Vendors and Understand Their Motives (4/4)
－to protect against cost overruns and open-ended
(1) while saved money on the surface , it
brought many problems in communicating
specifications and customers support.
(2) the contract was signed in a rush , leaving
service level agreements (SLAs) “to be
determined” and “ambiguous.”
－ who was an employee of the contracted vendor , also was responsible for approving his own firm’s invoices and purchase orders.
－ the core mission of ensuring patient safety ,
providing high-quality services and
maintaining efficient operations.
Lesson 3：Don’t Let Vendors and Consultants Drag Out Implementations
－ with vendors and consultants charging many
millions of dollars in time and materials.
Lesson 4：Never Disenfranchise IT Staff From End Users
－ users satisfaction increased
－ satisfactions scores on customer surveys
Do not be the first organization to use a new system !
Lesson 6：Involve Users Heavily in the Decision Process
－ can’t take the place of person-to-person
teamwork and communication.
－ the use of EMRs and CPOE still can cause
patient care problems.
－ the responsibility of the healthcare executive
to guide the institution through these land
mines and minimize any damage that occurs.
A：That’s your younger brother . How could you
beat him for no reasons?
B：Yeah , you’re way too far.
A：Johnson often quarreled with me over trivial
matters . I can’t bear anymore .
B：So , you’re through?