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Q: You weren't there at the start of Kaiser's many e-health projects. How did you reset those that may have been off-track?
A: The challenges were well written about and had to do with reliability in IT, timing, budget and our progress.
Q: So, a little bit of everything was causing trouble?
A: You learn things as you go along. The organization has gone through some significant learning about what was required of IT to make this a success. I spent my first six months with physician leadership and got a deep understanding of what an integrated system means, what it means to be a physician at Kaiser Permanente and a patient at Kaiser Permanente. Once you implement an EMR, it becomes core to delivering care. If the system is unavailable for an hour, that just can't be. We made major investments in data centers, servers, networks in the hundreds of millions of dollars.