Who should be the primary audience for a formal proposal to implement a new computer system in a clinic?

• A. The clinical staff
• B. The Board of Directors
• C. The patients
• D. The local government

Answer: (B)

Deciding who approves large technology investments in a clinic is the key idea. A formal proposal for a new computer system is a major expenditure that needs authorization from the clinic’s governing body, the Board of Directors, who review budgets, strategic fit, and risk and sign off on funding. While frontline staff can provide requirements and patients are affected by the change, they don’t have decision-making authority over expenditures, and the local government would only come into play in regulatory or funding contexts, not routine IT purchases.