title: Managing technology in a complex healthcare delivery system.
abstract: Although clinical management is generally best handled regionally in a large system, e-health is the exception. E-health is managed centrally and not regionally because the patient access is not regional--it is virtual. Also, when patient demand, not business rationalization pressure, is the driver for change, it makes business sense to modify the management form from a regional to a centralized function.
authors.affiliation: e-Cleveland Clinic, Cleveland Clinic Health System, Department of General Internal Medicine, Cleveland Clinic, USA.
authors.forename: C Martin
authors.initials: CM
authors.lastname: Harris
authors.forename: Jon
authors.initials: J
authors.lastname: Burns
authors.forename: Tom
authors.initials: T
authors.lastname: Gregorich
authors.forename: Greg
authors.initials: G
authors.lastname: Kall
authors.forename: Pamela M
authors.initials: PM
authors.lastname: Piar
authors.forename: Holly D
authors.initials: HD
authors.lastname: Miller
authors.forename: Jonathan L
authors.initials: JL
authors.lastname: Schaffer
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D007324:Institutional Management Teams; D020407:Internet / Q000458:organization & administration*; D007857:Leadership; D016347:Medical Records Systems, Computerized; D009820:Ohio; D009936:Organizational Innovation; D024382:Professional Role; D012041:Regional Medical Programs / Q000458:organization & administration; D018511:Systems Integration; D014584:User-Computer Interface