PWPM Wiki

Healthcare IT Implementation Assumptions Log

This is a practical guide to building a assumptions log for a healthcare it implementation project — a register of the assumptions the plan depends on, to be validated, adapted to the realities of implementing a healthcare IT system.

What a Assumptions Log is

A assumptions log is a register of the assumptions the plan depends on, to be validated. For the full concept and how it works in general, see Project Assumption. On a healthcare it implementation project it plays the same role, tuned to this kind of work.

Why it matters for a Healthcare IT Implementation project

Healthcare IT Implementation projects live or die on implementing a healthcare IT system. A well-built assumptions log gives the team a shared, explicit reference for exactly that — reducing ambiguity, aligning stakeholders, and making problems visible early enough to act. Skipping it, or doing it generically, is how healthcare it implementation projects drift into avoidable delay and cost.

What to include

  • Assumption
  • Impact if wrong
  • Owner
  • Validation status

Healthcare IT Implementation-specific considerations

Tailor the assumptions log to the risks that most often derail healthcare it implementation projects:

  • Clinical workflow disruption
  • Data privacy
  • Clinician adoption

Example

On a real healthcare it implementation project, the assumptions log would be shaped by implementing a healthcare IT system. In particular, it should explicitly account for the project’s biggest risks — clinical workflow disruption, data privacy, clinician adoption — rather than treating them as afterthoughts.