Chris wrote:
> How about one of you people who know a lot about such things, putting
> together a simple document that can be "offered" to the various path
> companies stating this common sense idea?
> Something that says something like:
> 1. software will only be installed once its contents are known
> 2. Will be installed by in-house support delegate
> 3. Must have full instllation instructions, 
> 
> Etc etc
> 
> Whatever makes sense.  If this document existed, maybe a concerted effort
> might just change something!
> 

But Chris, Drs dont want to pay for the software, dont want to develop
it and definitely dont want to pay for their own IT guys to have to come
and install it and then maintain it.  The voice of this thread that GPs
should get militant and tell generic path firm A to do write their code
their way and install it through their techs or they will take their
pathology elsewhere to me is a fringe issue about whether a pathology
service is any good or not.  I resent being judged by the quality of my
download system as the first and foremost parameter of "good".  I would
have thought more of the brains on the list than that.  Most certainly
all pathology services are not equal (but they are all pretty good
quality thesedays - so "good enough" might be better).

Of course, the IT guys perspective may differ depending on how busy they
are and they might welcome the chance to manage the download service ;)

And finally, as everyone seems to keep ignoring, where we are now
represents decisions made by large companines 5 years ago and a
progressive rollout to thousands around the country.  To my knowledge at
no stage ever has the College of GPs or any representative subgroup or
even more than about 10 gps actually gotten together and put any kind of
proposal, request or specification together to the College of
Pathologists or Radiologists addressing what GPs want in downloads.
No surprise that left to market forces and a variety of outsourced third
party IT consultants and inhouse professionals that each firm developed
their own client to do their own thing their own way to suit their own
processes and factored in ease of installation and maximum control with
minimum share of the resource.

Fortunately the vast majority of General and Specialist practice
actually likes downloads and wants the service even in its current "evil
- liz" non-optimal form.

Let me state clearly again, I am all for a universal download client, or
at minimum a specification (for Horst) that allows us to write our own
universal download application or clearly define how a result can be
emailed using existing protocols and standards and married up with an
acknowledgement of delivery.

And on this list you have met all the Drs that have an interest in
developing a universal download client anyway ;)))

Basically, unless something concrete comes to pass, Nehta will do it
their way with web services, all the groaning and threatening in the
world by the people reading this list will give way to harsh reality in
about 3 seconds.

JD

-- 
=================================================
dr john dooley mbbs frcpa
nexuspathology.com
aka "ron"

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