One can certainly appreciate the criticisms of the present VA situation but I agree, that in the past there have been leaders that put the VA where it now is with its exemplary Viosta Archietcture but we now have to induce the VA to again work with the health professional discilpines as well as with the software engineering disciplines to get back to the synergy needed to evolve VistA. There is real skills still in the VA and the work on the adaptation to the general healthcare community can can help the VA use its resident expertise in a productive fashion. Thats where we have to work hard while insisting on recognition of the within the VA expertise. That will benefit everyone.

On Mon, 18 Apr 2005 [EMAIL PROTECTED] wrote:

If it weren't for effective central leadership in the past, however, VA
would not be the stellar organization it is. Remember, it wasn't very long
ago that VA was a place where patient care was marked by some really
horrific episodes. Thanks to Dr. Keizer, those days are over.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Bain
Henderson
Sent: Monday, April 18, 2005 3:07 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] VA project funding hits hurdle in House
- St. Pete TImes


CONCUR! Health care, like politics, is best delivered locally.

- Bain

At 05:21 PM 4/18/2005, you wrote:
The quote in the article from Steve Buyer must be distressing to anyone
who remembers
anything about the origins and development of VistA:

 "Information technology at (the) VA is not centrally managed, and the
results are poor
service to veterans, inefficiency and wasted tax dollars," Indiana
Republican Steve Buyer,
the committee chairman, said in a written statement.

My understanding is that overly centralized management of IT in the VA has
(almost?)
always been the biggest source of "poor service to veterans, inefficiency
and wasted tax
dollars". Has that changed or is this more of the same?

http://pqasb.pqarchiver.com/sptimes/822736131.html?MAC=995cfe7284bceb318e


9a5098a997569e&did=822736131&FMT=FT&FMTS=FT&date=Apr+15%2C+2005&author=STEPH
EN+NOHLGREN&printformat=&desc=VA+project+funding+hits+hurdle+in+House
--
Nancy Anthracite

--------------------------------------- Jim Self Systems Architect, Lead Developer VMTH Computer Services, UC Davis (http://www.vmth.ucdavis.edu/us/jaself)


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