NSW and Victoria Health Should Read This Very Closely. Indeed as Should All Other States!

The following has just appeared in the UK from e-Health Insider.

SCR may have London roll out

09 Nov 2009

The head of the London Programme for IT has admitted that the ‘one size fits all’ approach to deploying Cerner Millennium was a “mistake”.

Speaking at E-Health Insider Live ’09, Kevin Jarrold said a “significantly different” approach was being taken at Kingston Hospital and St George’s Hospital NHS trusts, which are due to go live “this month” and “in the weeks after that” respectively.

“We have learned that one size fits all, big bang is not the solution,” he said. “We have moved to an incremental approach that lets us tailor the solution to fit particular requirements and a modular approach to deployment.”

Speaking alongside Jarrold, Don Trigg, managing director of Cerner UK, contended that the 60 products that fitted within the Millennium architecture were well fitted to this approach.

He said customers internationally had often taken one product for one department and then rolled it out more widely. He said Cerner had 17 NHS trusts using one or more Millennium product, and that it had 29,000 unique users across those 17 organisations.

More here:

http://www.e-health-insider.com/news/5374/scr_may_have_london_roll_out

The third paragraph is the vital one:

“We have learned that one size fits all, big bang is not the solution,” he said. “We have moved to an incremental approach that lets us tailor the solution to fit particular requirements and a modular approach to deployment.”

“Nota bene” is all that needs to be said. I would note I have been saying virtually forever that this sort of top-down solution delivery is a recipe for failure!

David.

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