On Thu, 4 Dec 2003 13:58, Thomas Beale wrote:
> One major reason many health (and other) IT projects fail is because the
> level of decision-making (about funding and large-scale planning) is
> almost inevitably many levels of hierarchy above where the kind of
> technically/clinically competent people who could asses/design/plan such
> endeavours exist. Thus we have the situation where those who are
> competent to build anything (whether it be a single system or a national
> EHR strategy) are handed usually mad "architectures" and
> "specifications" invented by those without only the dimmest grasp of the
> domain, let alone the problem at hand. Now, let's all go and read "The
> Peter Principle" again;-)

I think I will frame this posting and hang it onto my wall.

Horst

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