Strategy, budgets and planning are fine when the environment is reasonably predictable. Bureaucrats love these of course - they live in an uncertain political climate and are criticised for taking risks. In a more "chaotic" environment as in health informatics you cant possibly plan to the extent that they want. You need to be flexible, have good "knowledge systems" (ie dont forget what you have learnt) and good communication systems with an open managemernt structure. Unfortunately they keep forgetting the lessons that have been learnt. This is one of the effects of a closed propretary IP system of course.
R
On Thu Jun 7 7:50 , Ian Cheong <[EMAIL PROTECTED]>sent:
Pilotitis was recognised as a problem many years ago. Still hasn't
been fixed, probably because the value of an informatics "program"
has not been suffificiently well proven or built-in to provide surety
to the people signing off on the money. (Wasn't that what killed
MediConnect? - the beancounters.)
Therefore the "grand plan" should be a "system (not IT system but
system in the generic sense)" that delivers value. Any grand plan
that documents specific programs or outcomes will fail, because it
assumes the planers know where the value is - which they can't.
Governments are most unlikely to be able to create" systems" while
they require planning documents and budgets with specifics.
Governments could contribute to the development of a market for
informatics/information. They manage to facilitate many other markets
in a more hands-off manner. Facilitating development of a new market
is probably beyond the ability of the bureaucracy, until some
academic writes a thousand page book all about it.
Michale Porter's "The Competitive Advantage of Nations" is one such title.
http://www.amazon.com/Competitive-Advantage-Nations-Michael-Porter/dp/0684841479/ref=pd_sim_b_3/104-5426363-4776758
His writings on clusters are also popular with govt bureacrats.
http://polaris.umuc.edu/~fbetz/references/Porter.html
Maybe they have been reading his new book "Redefining healthcare"....
http://www.hbs.edu/rhc/index.html
Ian.
--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
(for urgent matters, please send a copy to my practice email as well:
[EMAIL PROTECTED])
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