the prospects for long-term maintenance and support for the technology you have been researching.


In the case for this module, we turn our attention to the issue of ongoing operation and maintenance of specialized information systems — in some senses, a direct follow-up to our attention to legacy systems integration, but also posing a unique and distinct set of problems and concerns having to do with competing demands for resources, pressures from even newer technologies, and the ever present tensions between professionals who rely on specialized information and those who manage the general information resources of the organization. In this context, it is useful to start with a rather bleak portrayal of how such a system can evolve:

Peter Littlejohns , Jeremy C Wyatt , Linda Garvican (2003) Evaluating computerised health information systems: hard lessons still to be learnt. BMJ 2003;326:860-863 ( 19 April ) Retrieved 9/9/07 from

The background information presents a variety of other perspectives on this problem of system evaluation and maintenance, and in the course of your research on your technology you undoubtedly have discovered other resources that will help you identify key problems and possibilities for their resolution. When you’ve had a chance to review this material, and anything else that seems useful, please prepare a short paper, 2-3 pages, discussing the prospects for long-term maintenance and support for the technology you have been researching. Use as your perspective the approach taken by the Littlejohn et al. team, identifying points of compatibility or incompatibility, and emphasizing ways in which your technology is or is not like what they describe.

Please conclude your paper with an overall assessment of the technology you have been discussing, a review of its prospects and drawbacks, and a list of overall lessons about implementation and management of specialized technologies which you would say you have learned from these exercises.


The computerization of information in hospitals has received investment enormously throughout the world. It is estimated that each big hospital uses approximately $50 yet there have been no assessment made on the costs and benefits of the systems of hospital information in the long run. Mostly when an evaluation is done on the systems, about a three quarter of them are perceived as a failure. Conversely these programs do not help the professionals in the health sector in improving their productivity.  Generation of information that is vital to makers of decisions within any information system needs to cover various aspects that are multidimensional and are way beyond functionality in technology.