This is absolutely correct. Across the board, we must stop thinking of the IT function as the omnipitent entity that has the ability to correctly discern the need for new tools in business (including the business of health care) and then to drive out the benefits of those new tools - especially when driving out the benefits typically involves complementary change in the skills of people, the processes that are performed, and the rules and structure under which the entire system operates.
In the modern world we have many suppliers that create a bewildering array of tools that we may use in our work and private lives. But these tools kave no value unless and until we use them to actually create value. It follows, logically, that those who use the tools should be the ones who justify their acquisition, because it is they who will deliver the value - however it is measured.
Useful goudance on this can be found in the ISO 38500 standard on governance of informaiton technology.
Agree IT should not be proposing changes in the way people work but maybe slightly blending it.
Is it IT or the demand for information? We have an internal patient centred information change and an NHS statistics driven one, they are 'fighting' each other within the IT department - competing for resources, however only one puts extra demands on the nurses.
There should be a CCIO in IT who also attends key hospital committees. Therefore, in that sense, no problem with "IT" proposing innovative solutions to hospital wide problems.
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