"Ms Susan Campbell, of Andersen Consulting, a large international health care consultancy, says:'different departments typically use different systems from different vendors to suit their individual needs.'
As a result, 'sneakernet' is a common means of communication between computers in US hospitals. This involves a person in sneakers...running data from one department to another because there is no electronic link."
Clive Cookson, "Legwork runs out with IT," Financial Times