Harris C Martin, Burns Jon, Gregorich Tom, Kall Greg, Piar Pamela M, Miller Holly D, Schaffer Jonathan L
e-Cleveland Clinic, Cleveland Clinic Health System, Department of General Internal Medicine, Cleveland Clinic, USA.
J Healthc Inf Manag. 2003 Spring;17(2):37-41.
Although clinical management is generally best handled regionally in a large system, e-health is the exception. E-health is managed centrally and not regionally because the patient access is not regional--it is virtual. Also, when patient demand, not business rationalization pressure, is the driver for change, it makes business sense to modify the management form from a regional to a centralized function.