In this CSSS, the distance between the facilities is important,
and the use of ICTs was judged critical to achieve the goals of the
learning organization across the points of services. According to
three participants, the committee chose ICTs that were already
available, but that could complete similar tasks at a more reasonable price than more expensive alternatives. The manager gave one particular example of this re-appropriation with respect to
the videoconference. Instead of installing expensive video conference systems, the organization opted to use equipment that could allow practical communication among nurses from different points