cultural change

See the following -

Porter Struggles With Electronic Records System, Sees Big Cost Overrun

John S. McCright | Addison County Independent | January 10, 2013

Porter Hospital has fallen behind in its multi-year effort to implement an electronic medical records system designed to improve patient care by replacing outdated paper recordkeeping. Read More »

The Health-Exchange Failure Isn't Just An IT Problem

Brendan Greely | Bloomberg Businessweek | October 23, 2013

[...] This is a culture problem, the hardest kind to fix for any organization. Which means that whatever happens with Healthcare.gov, the root cause—a culture problem—will definitely not be fixed by Nov. 15. Read More »