Managing Complex Change

Michael Craige offered some data and posed several interesting questions in his post, " Clinical is the Name of the Game - Hospitals' IT budgets" today. Generally, impoverished organizations do what they can to improve care, with whatever IT budget they can access. I thought back to this diagram (above) and realized that poorly funded or unfunded hospital IT budgets can impact more than just ' Resources;' lack of funding often impacts Skills, Incentives, and the other green boxes, with the predictable outcomes shown at the right. Thanks, Michael, for getting me to think about these challenges in a different way.