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Chapter 7  Processes, Organizations, and Information Systems
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                                                Issue                                                         Enterprise
                                              Discharge                     Stop Food                        Applications
                                               Patient
                                                Order  Prepare                                     Schedule
                                                       Discharge  Prepare Take-                     Pickup
                                                                 home Meds
                                                                 Deliver Meds                                 Enterprise
                                                       Discharge                                    Arrive     Database
                                                       Patient                                      Hospital
                                                                                       Prepare Room


                                                                       “OK, you’re ready
                Figure 7-7                                              to go home!”
                Example Enterprise Process
                and Information System



                                            kitchen. Some of those activities initiate activities back at the nursing staff. In Figure 7-7, the
                                            enterprise process (supported by the IS) is represented by a dotted blue line.
                                               Prior to the enterprise system, the hospital had developed procedures for using a paper-based
                                            system and informal messaging via the telephone. Each department kept its own records. When
                                            the new enterprise information system was implemented, not only was the data integrated into
                                            a database, but new computer-based forms and reports were created. The staff needed to transi-
                                            tion from the paper-based system to the computer-based system. They also needed to stop making
                Eliminating information silos is
                not without security risk; for more   phone calls and let the new information system make notifications across departments. These
                information, see the Security Guide   measures involved substantial change, and most organizations experience considerable anguish
                on pages 314–315.           when undergoing such transitions.


                         Q7-4               How Do CRM, ERP, and EAI Support

                                            Enterprise Processes?


                                            Enterprise systems like the one in Figure 7-7 were not feasible until network, data communica-
                                            tion, and database technologies reached a sufficient level of capability and maturity in the late
                                            1980s and early 1990s. At that point, many organizations began to develop enterprise systems.

                                            The Need for Business Process Engineering

                                            As they did so, organizations realized that their existing business processes needed to change. In
                                            part, they needed to change to use the shared databases and to use new computer-based forms
                                            and reports. However, an even more important reason for changing business processes was that
                                            integrated data and enterprise systems offered  the  potential of substantial improvements in
                                            process quality. It became possible to do things that had been impossible before. Using Porter’s
                                            language (Chapter 3, pages 119), enterprise systems enabled the creation of stronger, faster, more
                                            effective linkages among value chains.
                                               For example, when the hospital used a paper-based system, the kitchen would prepare meals
                                            for everyone who was a patient at the hospital as of midnight the night before. It was not possible
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