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i think that some of this stems from the fact that IT has to be viewed as a partner, and at the same time shouldn’t be the reason to not explore or implement new care models. I am seeing this in an organization that I am working with now–IT is “not able to prioritize this work due to staffing and workloads”- yet ironically this is exactly why the VN model is being implemented although from a patient care/clinical staffing perspective. I think we will find better ways to grapple with this over the next year that make everyone feel as though they are on the same team again.