I got the following repsonse to my post about whether to build or buy hospital health IT software:
I think it’s worth comparing to other industries. In most cases those industries slowly move away from building IT to buying IT. What happens is companies get more and more specialized and more and more flexible with their configurations that it’s cheaper to just buy the solution and customize the solution. There’s still cost to customize, but it’s cheaper than building it from scratch. Although, many are then disappointed that it’s not everything they want.
I have to agree that this is the case and is a great description to the overall trend that happens in companies. In many cases the companies start building their IT. Then, over time more and more IT is bought instead of being built. Little by little your IT team consists of customizers and project managers instead of programmers and database developers. Once this switch occurs, it’s really hard to go back to building your IT.
Do you see the same thing happening in hospital IT?