Final answer:
The scenario described is an example of external pressures, as the healthcare organization needs to comply with new government regulations requiring specific reporting formats.
Step-by-step explanation:
The need for new software due to government regulations requiring reports in formats not supported by the current operating system in a health organization, as stated by the CIO, is an example of external pressures. This scenario is driven by regulatory changes introduced by the ACA (Affordable Care Act), which includes measures to control healthcare costs, such as capping administrative expenses and mandating the adoption of electronic medical records (EMRs). These regulations compel healthcare organizations to adapt their Health Information Technology (HIT) systems to comply with new standards, embodying external factors influencing purchasing decisions.
The example given is an example of External pressures as a purchasing factor for HIT systems. When government regulations require new reporting formats that the current operating system does not support, it creates external pressure on the organization to comply with the regulations. In order to meet the new reporting formats, the organization needs to invest in new software that supports the required formatting.