On Thu, 20 Jan 2005, Nancy E. Anthracite wrote:
Nancy:
This is an interesting article and should be responded to but the result, an effective VHA, was not quite the "instant nirvana" that was made out. Instead, it resulted from long efforts over a substantial period that had a basis in the recognition in 1977 to invest in the technologic building blocks of the M Community (now being celebrated by NE MUG) applying them to the whole "VA Enterprise" with a "Life Cycle Principles". Those building blocks enabled the contributing organizational and professional elements to have influence over 25 years in constructing the tools and the information architecture needed to support the evolving "business processes" that now result in documented evidence (from the infoirmation architecture) for effective care enabled by appropriate resource management. This information architecture enabled understanding the conceptual content basis of the patient care core and the support enabling role of resource management - core principles not yet understood by most who would "reform" healthcare to run like a Supermarket (the cardinal eeror noted by an economist at a health professional meeting an still ignored by those not wanting to be confused by the facts). Hardhats and World VistA need to rejoin with the rest of the (M)UMPS Community in presenting a balanced collaborative (technolgic plus health professional) unified effort that it has historically had with its worldwide constituency in showing how the technology enables the care process. In that way, beginning now and using the NE MUG Celebration as as a major event, the Community can show the world the way out of the desert using the (M)UMPS technologic capability as a true enabler. This outlook was what produced the VA's example but it also produced the seminal unique capabilities that are still unrecognized as keys to the achievement. I hope those ideas can emerge in both the dialog about VistA and about the (M)UMPS [aka Cache] environment.
On Thursday 20 January 2005 11:40 am, [EMAIL PROTECTED] wrote:Thought the group might be interested in this article. It lauds the VA, and speaks to the central role that informatics plays in the quality of care the VA provides. It's also an interesting foray into large-system management analysis. Kind of exciting to see the VA get this kind of press.
http://www.washingtonmonthly.com/features/2005/0501.longman.html
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