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Health Informatics Journal, Vol. 13, No. 3, 195-206 (2007)
DOI: 10.1177/1460458207079900

Supporting information technology across health boards in New Zealand: the role of learning in adapting to complex change

K.J. Day

School of Population Health, University of Auckland, New Zealand, K.day{at}auckland.ac.nz

A.C. Norris

Institute of Information and Mathematical Sciences, Massey University, Auckland, New Zealand,T.Norris{at}Massey.ac.nz

This article describes a study of a major change management project involving the establishment of a shared services organization to align the information services functions for two district health boards in New Zealand. The research uncovered a capability crisis that many people experienced when they realized the magnitude of the task they were involved in. Not everyone experienced the crisis and it seems that learning, especially in a complex healthcare environment, plays an important role in reducing the negative impact of change.

Key Words: capability crisis • change management • complexity • health IT projects • learning


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