Probably because
you use MS Word etc and keep a horde of unconnected documents.
Building an information system or knowledge system would have been a good first step.
But MS looked to people buying things as thoguh they understood it, and Word docs look to the administrata as though they are useful pictures of documents...
The coffee machine cleaning probably isn't management information, and won't be collected never mind collating. Cleaning costs for the canteen, possibly, cleaning costs overall certainly, in whatever degree of detail the management of the hospital and their outsourced cleaner management company find useful in setting and paying bills, certainly is, and it seems likely it would be better managed if this is information kept in an organised form and thus trivially available.
Is it more or less than other hospitals? Is the result cleaner or dirtier? THat sounds like interesting tuff to know.
Biting the hand that feeds IT
