
It's Not About the Tech
From Potholes to Piglets, Real-Life Lessons in Health IT
By: CT Lin
Paperback | 1 August 2026
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368 Pages
22.86 x 15.24 x 1.93
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CT Lin is best known in healthcare circles for his informatics-themed ukulele parodies. "It's Not About the Tech" reveals that the music was always beside the point. Read this book to understand computers. Read it more carefully to understand people. -Robert Wachter, MD. Chair of Medicine, UCSF. Author, A Giant Leap: How AI is Transforming Healthcare and What That Means for Our Future
CT has championed digital transformation in healthcare over the last 3 decades. His book captures why implementation, workflow, and clinician engagement matter even more than the innovation itself. --Jackie Gerhart, MD, Chief Medical Officer, Epic Systems
It's Not About the Tech teaches practical informatics through stories of success and failure from EHR work. The book comprises bite-sized case studies that illustrate self-development as a tactic for improving teamwork, change management, and leadership in complex healthcare environments.
The Premise: This book is a portable mentor for the next generation of informaticists. Only 20% of the success of a healthcare technology project is about the technology. The other 80% is the psycho-socio-political skills of the team implementing it. After 30 years of practicing medicine and implementing electronic health records, Dr. Lin learned this the hard way.
Industry Reviews
CT Lin is an excellent communicator.
-Jill VanWyk, MD
In It's Not About the Tech, CT Lin brilliantly bridges the gap between digital
innovation and clinical execution, proving that the true power of health infor -
mation technology lies beyond the code itself. This book provides an essential
roadmap for turning sophisticated tools into meaningful impacts for the patients
and communities we serve.
-Dr. Philip Payne, MD (President and Chair, American Medical Informatics
Association)
Most health systems invest as if technology is the answer. This book politely (and
repeatedly) proves otherwise. Through memorable anecdotes, it makes the case
that transformation lives or dies in the space between workflow, incentives, and
trust.
-Craig Joseph, MD (Chief Medical Officer, Nordic Global)
This book will undoubtedly guide the next generation as we build teams equipped
with the skills vital for successful digital transformation. Dr. Lin's leadership,
marked by grace and humility, will continue to light the path for those who follow.
-Margaret Lozovatsky, (Chief Digital and Information Officer, PremierHealth)
CT Lin spent thirty years learning what every health system relearns the hard
way: The technology was never the hard part. Every CMIO knows the project that
worked on paper and died at the bedside. CT names why.
-Adam Carewe, MD (Founder of NerdMDs and "Retired" CMIO)
An excellent treatise on the theory and practice of clinical informatics as taught
by a master of the trade. This book is essential reading for all clinical informatics
practitioners.
-William Hersh, MD (Professor at Division of Informatics, Clinical Epidemiology,
and Translational Data Science, Oregon Health & Science University)
More from Dr. CT Lin at https://ctlin.blog/
INTRODUCTIONâ
What Is "the Psycho 80"?â
Earlier Is Betterâ
What Clinical Informatics Is NOTâ
The Four "Ins" of Informaticsâ
How to Read This Bookâ
My Handoff to Youâ
26 PIGlet Questions
INVESTIGATIONâ
Intro-The Frog at the Bottom of the Wellâ
STAT-LAN and the Chief Complainerâ
How It All Startedâ
1994, Our First EHR. What Could Go Wrong?
The Sonar Sensor Conspiracyâ
Surgery Orders, Informed Consent, and Complexity: The Cynefin Frameworkâ
INVESTIGATION-All the Lessons Learnedâ
INTRIGUEâ
Intro-If You Build It, They Will Not Comeâ
What Is a Sacred Bundle, and Why Do You Need One?â
A Surgeon's Friendâ
What TikTok Teaches Us About Communicationâ
Paternalism and the Patient Portalâ
Haiku Poetryâ
The Superpower That Is the One-Pagerâ
What is Your Boss's Learning Style?â
Genius and Ninja Stickersâ
The DOs and DON'Ts of an Effective Presentationâ
APSO notes, Maxwell, and the Meeting Before the Meetingâ
Sprint Informaticsâ
"That Epic Thing You Wrote? It Sucks."â
"Put Those People Back Where You Found Them!"â
Sprint: Setbacks and Evolutionâ
INFLUENCEâ
Intro-Is It Time to Be the Boss?â
On Machiavellian Leadershipâ
Machiavelli on the Inevitability of Resistanceâ
Machiavelli on The Grand Gestureâ
Machiavelli on The Burning Platformâ
What Is Your Vision Statement?â
Three-Circle Venn Diagram: A Personal Approach to Influenceâ
The Ferret and the Flywheelâ
Minimum Viable Product: Using the Startup Mentalityâ
Subterranean Informaticsâ
Don't Be Selfish, Be Usefulâ
The 70% Rule for Decision-Makingâ
CPOE and the Critical Bugâ
Grow Your Team!â
Grow Your Team: Hire the Techie or the Tech-Na¯ve Leader?â
Grow Your Team: Square Peg, Round Holeâ
Grow Your Team: Grow Humans, Not Employeesâ
INOSCULATIONâ
Intro-Dawn Patrol and Social Historyâ
The Evolution of OpenNotesâ
The Information Blocking Ruleâ
The Anxiety Problemâ
The Na¯ve Scientist Part 1: "This Is a Bad Idea."â
The Na¯ve Scientist Part 2: "But, the P-Value!"â
Fetal Demise Changes an Organizationâ
A Rising Tide in the MMOLCâ
OurNotesâ
The Cloud Inside the Triangleâ
Tribes in Medicine and Building Successful Teamsâ
"The More I Listen, the More My Patients Learn"â
Useful Information Hides Inside a Feeling
INOSCULATION-All the Lessons Learnedâ
Punctuated Equilibriumâ
The Startup CEO's Little Black Bookâ
Getting Things Done in an Age of Accelerationâ
Get in "The Zone"â
Return to your Breathâ
The Long View: Leading Indicators & the Power of Habitâ
The Medium View: Accountability Partners & Tuesdays to Writeâ
The Short View: Pomodoro Timers & Email Tricksâ
Scrolling Alone Vs. Laughing in Groupsâ
Write like Hellâ
THE FUTUREâ
Intro-I Am a Dinosaurâ
The Chaotic Surge of Intelligenceâ
Automation Complacency: "That's Probably Right."â
Automation Clumsiness: "Tech Can Do That for Me."â
Mini-Me & Maxi-Meâ
The Erosion of Human Valuesâ
Loss of Fault-Toleranceâ
Loss of the Artisanâ
Loss of Clinical Intuitionâ
ISBN: 9798996923311
Published: 1st August 2026
Format: Paperback
Language: English
Number of Pages: 368
Audience: Professional and Scholarly
Publisher: CT Lin LLC
Dimensions (cm): 22.86 x 15.24 x 1.93
Weight (kg): 0.49
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