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Working the contract

Mark Rouncefield, David Martin
This paper presents data and analyses from a long term ethnographic study of the development of an electronic patient records system in a UK hospital Trust. The project is a public private partnership (PPP) between the Trust and a US based software house (OurComp) contracted to supply, configure and support their customizable-off-the-shelf (COTS) healthcare information system in cooperation with an in-hospital project team. Given this contractual relationship for the system delivery and support (increasingly common, and standard in UK healthcare) we focus on the ways in which issues to do with the contract enter into and impinge on everyday design and deployment work. We do this as a means to inform future project management and design.
The 10th European Conference on Computer Supported Co-operative Work, Limerick, Ireland, September 24-28, 2007.