Successful introduction of major new systems into complex medical organizations requires an effective blend of good technical and organizational skills. The technically best system may be woefully inadequate if its implementation is resisted by people who have low psychological ownership in that system. On the other hand, people with high ownership can make a technically mediocre system function fairly well. Managing Technological Change focuses on the successful strategies for implementation of information systems within medical organizations as well as on effective management strategies for the altered organization once the new systems are in place.

Section I Setting the Stage: Information Systems, Change, and Healthcare Organizations.- 1. Reviewing the Problem.- 2. Examining Todays Healthcare Environment.- 3. Linking Informatics and Change Management.- Section II Establishing Strategic Issues.- 4. Determining the Strategic Direction.- 5. Understanding and Analyzing the Change Process.- 6. Understanding and Analyzing Organizational Structures.- Section III Preparing for Change.- 7. Change Management for Successful Implement.- 8. Analyzing the Organizations Readiness for Change.- 9. Partnering for Success: A Team Approach.- 10. Critical Design (Redesign) Issues.- 11. Critical Issues in Project Planning and Management.- Section IV Implementing the Change.- 12. Integrating the Change Process: Organizational and Information Systems.- 13. Gaining Physician Acceptance.- 14. Examing the Critical Role of Leaders and Leadership.- 15. Negotiating the Political Minefields.- 16. Managing Personal Stress.- Section V Managing the Postimplementation Stage.- 17. End-Stage People Issues.- 18. Evaluating Project Success.- 19. Managing the Altered Organization.- 20. Future Visions: Organizational and Personal Preparation.