Case Studies in Technological Change -- GEMINI: The Life and Times of a Clinical Information System -- Organizational Change -- The Web Center: A Case Study in Strategy and Power -- Computers for Kids: Not All Fun and Games -- Managing Change -- Managing Success: An Information Systems Dilemma at Great Plains Health Care -- Implementation -- Bar Coding: It's Hard to Kill a Hippo -- Developing an Emergency Department Information System -- Implementation of OpChart in West Medical Building -- Development of the Scientific Computing Center at Vanderbilt University -- Early Implementation Problems of an Integrated Information System Within the White Mountain University Health System -- Implementation of a Web-Based Incident-Reporting System at Legendary Health System -- Managing Change: Analysis of a Hypothetical Case -- Economics -- E3 at Vanderbilt University Medical Center -- Catch 22: The Case of Utilization Management's Return on Investment Evaluation -- Antimicrobial Utilization Program at the University of Central State Medical Center -- Central Medical Healthcare System: The Case of the Well-Aggregated Patient Data -- Building Consensus: Quality Improvement at Vesalius Health System -- Leadership -- Strategic Informatics: Planning for the Future of AtlanticHealth -- Fix Pharmacy! -- Showdown in the Heart of Texas -- Mission Valley Medical Center Physicians Group Practice: The Rumor -- The DNA Donation Project -- Who's in Charge? -- Organizational and Interpersonal Conflict -- The Chief Resident's Dilemma -- Death of a Committee -- Whose Job Is It Anyway? -- All for the Want of a Plan … -- Fail to Plan, Plan to Fail -- Founding Fathers Health Corporation: Idealism and the Bottom Line.Based on case studies, this book illustrates the complex challenges faced by healthcare administrators when implementing changes in technology.