Largely because with big business in general, and especially with medicine, modernization is more of a political and economic problem than a technical one. There's been medical records keeping software that's better than paper for 30 years now, but a lot of hospitals still use filing cabinets full of handwritten charts.
Switching systems for a major enterprise is hugely expensive. In addition to retooling and retraining, there's the cost of paying someone the often thousands of hours to import all the existing records. Plus six months (optimistically) of dealing with lost records, transcription errors, and learning curve errors from staff unfamiliar with the inevitable quirks of the new system. Not that this is good for any business, but in a hospital setting that can mean dead patients.
Remember that "I'm to entrenched to make major changes" is emphatically not an engineering problem. Neither, for that matter, is "I don't have the money or political power to get access to technology". They are real problems and need real solutions, but throwing more tech at them is not an effective strategy.
Switching systems for a major enterprise is hugely expensive. In addition to retooling and retraining, there's the cost of paying someone the often thousands of hours to import all the existing records. Plus six months (optimistically) of dealing with lost records, transcription errors, and learning curve errors from staff unfamiliar with the inevitable quirks of the new system. Not that this is good for any business, but in a hospital setting that can mean dead patients.
Remember that "I'm to entrenched to make major changes" is emphatically not an engineering problem. Neither, for that matter, is "I don't have the money or political power to get access to technology". They are real problems and need real solutions, but throwing more tech at them is not an effective strategy.