Company is a large hospital 2 years into a 5-year modernization program that includes new healthcare line of business applications, workflow and control automation. A Chief Medical Information Officer is responsible for IT systems and activities that directly support medical procedures, the CIO for everything else. To support the modernization effort, the CIO anticipates that Company ‘messaging’ capabilities will have to be upgraded to include some kind of ‘collaboration engine’ such as Sharepoint or Lotus Domino. What is the best way to proceed?

New regulation mandates that the Company support data exchange procedures for which the Company anticipates significant cost but little, if any, financial benefit in the next five years. What is the best approach to managing this investment?

Recently, a ‘never event’ resulting in the death of a patient occurred at the hospital. Current industry standards dictate that such an event should ‘never’ occur at a well managed hospital. The hospital could implement a very expensive application control to prevent a re-occurrence, but the cost would have to be paid out of the modernization budget. What is the most appropriate action?

The company has not yet obtained expected benefits from the modernization program. What is best course of action?

The project to implement a highly visible medical support application is 25% complete but has consumed 50% of its budget. What is the most appropriate course of action?