Ian Cheong wrote:

>>
>> I believe good design does not prevent IT project failure, in fact
>> capture of the agenda by technical experts overriding business
>> objectives (eg returm on investment) is more likely to result in failure.
>>
>> Now I know I am frozen in time - it seemed like only yesterday, but it
>> was nearly 3 years ago.....
>>

> 
> For those interested in Standish Group methodology in their long-term
> study of IT projects...which has been questioned for scientific validity.
> 


My experience with Australian Health IT is the opposite, it's the
singular focus on the Business case and a complete lack of understanding
of the technology that is the problem. The management of Health IT
should be done by people with years of experience in Health IT and not
the bureaucracy, ditto for Public Hospital management.

Hospitals worked when run by doctors and nurses and a few managers to
pay the wages and organise someone to mow the lawn. IT works when IT
people are involved. At some point in time people will look back at this
era of managerialism and wonder why, as a society, we were so stupid.

IT people who work in the area understand the Business case deeply
without having useless meetings and they understand the IT and can put
it together. Its taken NEHTA 3 years to learn enough to get back to the
point we were 3 years ago... and in the process have set the process
back 5 years.

Andrew McIntyre
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