Answer the following questions based on the PHS case. Provide examples from the case wherever possible to support your answers. 1. What are the top goals and objectives of the following groups:

Of the enterprise as a whole

Of the executive management team

Of each key business unit

Of governance bodies

Of other stakeholders (e.g., state and federal government agencies and insurance companies)

2. If these goals and objectives draw the enterprise in opposite directions, how are they to be reconciled?

3. What barriers existed at the time of implementation and which barriers remaining after deployment ought to be of concern to PHS management? What forces are at play (internal and external) that may impact PHSs business and its plans?

4. What was the culture of PHS clinical decision making before the advent of its LMR and CPOE systems?

5. What general challenges did the leadership of PHS need to overcome to achieve the sweeping transformation of core processes related to access to a patients longitudinal medical record and clinical decision support systems?

6. What are the operational IT challenges posed by the systems now in place for the following groups:

PHS management

PHS healthcare practitioners

Healthcare practitioners and allied agencies that interact with PHS

The PHS IS organization

7. What are the total cost of ownership implications of the overall LMR/CPOE investment?

8. How has the enterprise-wide rollout of LMR and CPOE changed core healthcare delivery business processes?

9. What circumstances contributed to the successful adoption of process change and new information system across PHS? Are there other strategies you would employ to ensure success?

10. From a project management perspective which system deployment success factors are in place and which factors appear to be absent?