Introduction:-IT Projects are usually complex and have different phases that require lot of different peoples and departments involved working together in order to make things work. IT projects should always be developed according to organization`s needs and requirements. Furthermore every IT project has Time and financial constraints as well. Therefore the failure rate of IT projects is significantly high. An IT Project is considered Failed if it gone significantly over the budget, taken too much time to implement and or got so many problems at implementation stage . Change Management also plays an important role in success of IT projects.(Langabeer,2011). Implementation stage is significantly important in IT projects management as most of IT initiative fails at implementation phase.Typical IT Project Implementation Process:-IT project management implementation process is generally based on Project management principles. Typical IT implementation project involves following steps (Weger & Lee,2011)(i) Project mission, vision, statement, kickoff planning etc that involves identification of Stakeholders, project planning ,budgeting, scheduling and risk assessment.(ii) Requirements Analysis, Requirements for IT projects based on business functions(iii) Design and development stage involves project actual design and development based on requirements gathered in last phase.(iv) Project Testing step involves testing of project in actual environment.(v) Change management is part of project implementation plan(vi) Project implementation and Support involves actual implementation of It project while support is provided in case of any problems.

Project Roles and Responsibilities:-An implementation of large IT project involves four roles. Business sponsor, owner, Project Manager and IT Manager.(Ramington & Pollouck,2011)(i)Business Sponsor:- Overall accountability of IT project depends on business sponsor. In case of health care Medical Director can act as business sponsor or in other case chief financial officer can act as business sponsor. Business sponsor helps defining project and deliverables.(ii)Business Owner:- Business owner is generally responsible for operations of organization. Chief operating officer in any department. in many organizations may act as business owner. He is usually department head and work jointly to overcome any problems during IT implementation projects.

(iii)Project Manager:- Project Manager is responsible for overall implementation of project. Each stage of Project is monitored and controlled by project manager. Project Manager manages project from start till end.(iv)IT Manager:- IT manager Manages the role of IT department in IT project implementation. IT manager might manage the whole process of implementation because IT manager of an organization can understand the organization better from IT perspective.

IT Project implementation Failures (Causes)(i)Lack of Clarity of Purpose:-Lack of clarity of purpose if IT initiative may result in failure of IT projects . All the stakeholders should be involved in an IT initiative. The purpose of an IT initiative should be well explained. All the stake holder should understand how an IT initiative going to help them in achieving organization`s objectives and what will affect day to day operations. In case project is poorly understood by stake holders it will be difficult to design and implement project. In case of CPOE implementation project was poorly understood and had lack of clarity from start. Physicians though it would increase their work burden indicates there was lack of clarity of purpose . Stakeholders didnt understood the scope and purpose of IT initiative. (Wager, Lee, Glaser, & Wager, 2009) .It is important to clearly explain the way project will help organization and stakeholders in achieving their objectives.

(ii)Lack of Believe in the Project:-A successful Implementation of IT projects require the contribution of every stakeholders. Some time IT initiative is clearly explained to stakeholders but it didnt fully convince them as it will change their work activities. In case stakeholders dont believe in the project they will not fully participate in the project that might affect different stages of IT project. (Einbinder, Lorenzi, Ash, Gadd, & Einbinder, 2010In case of CPOE implementation Physicians did not had believe in the project as it will change the way they performed their duties in the past.

(iii)In Sufficient Leadership Support:-Leadership support plays an important role in successful implementation of IT project. Leadership of an organization should take IT projects seriously. The decision making related to IT project needs full involvement of organization`s leadership. Management might need to utilize lot of time in decision making and monitoring the progress of IT project implementation. In case the decision making is delayed to not done carefully may reduce success rate of It project. In case of COPE implementation shows insufficient leadership support in the project. There were leadership crises from start and many members just said yes to IT initiative on pressure of other while they were not fully convinced about projects. Insufficient leadership support and Lack of believe in project consumed so much time in initiating the project while there was very less time left for design and requirements gathering phase of project.(iv)Organization Inertia:-IT project initiative may add much more work on top of routine work. Management and employees might already be over burden with work load. In this case IT project initiative doesnt get full concentration and involvement from employees and management. Stakeholders might be stressed and overworked that might hinder the progress of work on IT project. In case of COPE implementation The initial stage took 6 months to complete while there were only 12 months left for project design and implementation resulting in rushed requirement analysis and design .(Ramington & Pollack,2010 Rushed requirement analysis may result in poorly designed project. Requirement analysis phase is very important in IT projects. (v)Project Complexity:-Project complexity depends on organization`s size and requirements related to automation. Some projects may be very complex and bigger than other require lot of time and budget to impalement. (Langabeer,2011).Some organizations might be complex to understand and involve number of different type of stake holders that adds to complexity of IT projects as well. In case of COPE implementation the IT project was complex and required lot of time and budget with careful requirement analysis activity. Project complexity was not considered at initial stage leading delay in project at each stage due to different reasons.Conclusion:- It can be concluded that success of IT project depends on number of different factors. Problems at one stage of project may affect whole project. IT project covers all the aspects of organization that requires contribution and efforts from all the stakeholders. In Case of Memorial Health System CPOE implementation It project was complex and required careful planning and allocation of required resource. The Project Lacked involvement and support of all stakeholders. Rushed requirements analysis significantly reduced the chances of CPOE implementation with in time.

References:-Langabeer,J.R. (2011). Project and Change Management. InCram101 textbook outlines to accompany: Health care operations management : a quantitative approach to business and logistics. S.l.: Cram101Remington,K., & Pollack,J. (2011).Leading complex projects and tools for complex projects. Farnham: Ashgate.Wager,K.A., Lee,F.W., Glaser,J.P., & Wager,K.A. (2009).Health care information systems: A practical approach for health care management. San Francisco, CA: Jossey-Bass.Einbinder,L., Lorenzi,N.M., Ash,J., Gadd,C.S., & Einbinder,J. (2010).Transforming Health Care Through Information: Case Studies. New York, NY: Springer-Verlag New York

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