Information technology: opening the box.

If you thought managed care was a tough nut to crack, wait until you have to start making decisions about your organization's information technology (IT). Information systems are complex and expensive, they can take years to implement, and, once installed, they need costly and regular upgrades. But for a contemporary clinical organization to function, this technology is as essential as power and water. For many years, information technology was seen as a black box, impenetrable and beyond real understanding. If done with knowledge and care, however, cracking the box opens up possibilities, not ruin.