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Index 259Diagnosis-related groups (DRGs), andcost control, 151–152Diminishing marginal productivitymeaning of, 140–41measurement of, 141Disease management program, 171–173cost-benefit analysis, 172funding for, 171–173DNA donation project, 214–217pilot project, 216task force activities, 214–216EE3 (being electronic by 2003), 143–149clinical visioning group goals, 145–146goals of, 144ROI analysis, 148–149StarChart, 145StarNotes, 147StarPanel, 145, 147–149StarScan, 147Economic aspectsantimicrobial utilization program(AUP), 160–169cost-benefit analysis, 138cost-benefit judgments, 139cost-benefit rationalization, 138costs, types of, 140disease management program,171–173E3 (being electronic by 2003), 143–149hard and soft costs, 138–39marginal analysis, 141ROI analysis, 148–149, 153–159utilization management, 150–159VAMPIRE, funding for, 92–93, 95–96Electronic medical record (EMR),diabetes management, 174–175,179–180Emergency department informationsystem (EDIS), 69–80buy versus build decision, 72–73components assessment, 75design of system, 74–77goals/outcomes for, 78interface components, 75–76needs assessment for, 71–73project criteria, Phases I/II evaluation,79–80team members, 71timeline for project, 70, 76whiteboard versus Web-based board,76–77Emotional intelligence, and leaders,189–190Empowermentand change management, 17, 18and organizational structure, 17Erwin, Janet, 65–66Evans, Carol, 215FFailure of IT systemscauses of, 59, 125GEMINI system, 7, 11–13prediction, with force field analysis,126–129Fairview Valley Regional Hospital,pharmacy ordering system, 197–198Faulk, Suzanne, 27–28Fixed costs, 140Force field analysis, 126–29hospital forces, types of, 128Founding Fathers Health Corporation(FFHC), 250–255IT programs of, 250–251joint venture proposal, 251–254GGates, Steve, 177GEMINI, 7–14cost of, 10deimplementation of, 7, 13functions of, 8implementation of, 9–11problems of, 11–13Genetics, DNA donation project,214–217Gibson, George, 88Graham, Charlotte, 67Great Plains Healthcare, clinical datarepository (CDR), 49–53Guarini, Jane, 27HHall, Dennis, 97Hammer, Paul, 209–211Hammill, Thomas, 101, 103–106, 109Harrier, Pamela, 176, 179, 184Hauk, Ed, 178–179, 181