i totally agree with you, it better to start small than not to start at all. we started here from paper and pincel and kept moving; baby steps :P; and i dont think it have anything to do with budget, all you need is a good development team playing as the IT department coordinating with you. you just have to know what exactly you want.
in my openion, if you dont have a vision you will stay where you are.
regarding RFID, i wish we implemented this here but we didnt yet. i dont know about where you live, but how much time does it take a clinical engineer to find a pump for PPM. for us we waist alot of time to find them; simple nurses are nothing but pain.