The growth of computer technology levels off as the organization realizes that the technology is fragmented, and out of control, and there is not a clear return on investment. The organization tries to do more planning and controlling of the technology, while making end-users more accountable. During this stage of growth less money is spent. At this stage, a new proliferation of applications occurs, but in a more structured and organized manner. The functions of information technology planning and control are formalized focusing on integration.
Duplication is eliminated and fragmentary applications are combined.
The organization begins to realize that information is a resource and data administration is created. At this stage technology and management processes are integrated, systems personnel and end-users have joint responsibility for data resources, the CIO will take leadership in strategic data planning and information resource management. They have slowly shifted to emphasizing integrative medical and clinical information support services through the use of a variety of computers that are linked with high-speed communication networks. Expert systems aid in decision making and are programed with a series of algorithms. One such system has been developed by Prime Time Software and is used in family practice settings.