000002976 001__ 2976 000002976 005__ 20250424232806.0 000002976 0247_ $$2DOI$$a10.6083/M4ZW1JW4 000002976 037__ $$aETD 000002976 245__ $$aInformation technology governance: vital to healthcare systems 000002976 260__ $$bOregon Health and Science University 000002976 269__ $$a2016-03-01 000002976 336__ $$aCapstone 000002976 502__ $$bM.S. 000002976 502__ $$gBiomedical Informatics 000002976 520__ $$aHealthcare in the United States is in transition. Healthcare delivery organizations are undergoing drastic changes in how they care for people. These organizations range from small private physician offices to huge multisystem, multistate organizations. Whether large or small they share the need to manage change. Issues driving these changes include the need to increase safety of care and improve patient outcomes, proposals for changes in payment models, new legislation and regulatory agency rules regarding the use of electronic health records. The following case study is an example of an attempt to structure an alliance between two independent systems utilizing a single instance of an electronic health record. Names of the health systems are changed. I will discuss difficulties with this attempt, with emphasis on governance. I will seek methods for possible improvement through literature search and asking for expert opinions. Suggestions for other institutions starting this journey will be made. 000002976 542__ $$fIn copyright - single owner 000002976 650__ $$aChange Management$$012897 000002976 650__ $$aElectronic Health Records$$038928 000002976 650__ $$aDelivery of Health Care$$017452 000002976 691__ $$aSchool of Medicine$$041369 000002976 7001_ $$aWiedower, James$$uOregon Health and Science University$$041354 000002976 7201_ $$aChin, Homer$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor 000002976 8564_ $$9a2e052ef-65d8-4dd1-8013-d8922f72acb0$$s532954$$uhttps://digitalcollections.ohsu.edu/record/2976/files/3753_etd.pdf$$ePublic$$2c92e836d6bab4a4badff15f7751de44b$$31 000002976 905__ $$a/rest/prod/25/14/nk/80/2514nk80s 000002976 909CO $$ooai:digitalcollections.ohsu.edu:2976$$pstudent-work 000002976 980__ $$aTheses and Dissertations