Hardhats and all interested in VistA should read the recent book "Person
Centered Health Records:Toward HealthePeople" by Demetriades, Koldner,
Chrisopherson by Springer as it illuminates Joseph's comment. The book has
a number of holes but it does give a key perspective on the healthcare
sector an how ICT should be supporting both the Care and the Resource
Management domains. This is key to recruiting potential adopters and deals
somewhat with the Life Cycle Principles but really doesnt yet deal with
the Zachman Framework, Enterprise Architecture Planning and particulalry
the education of the healthcare professional disciplines so that they can
make decent use of the ICT provided innthe VistA architecture. Education
in the Technical Infrastructure will need to be addressed via the
education in the history and uniqueness of the M Information Management
skills within Life Cycle Principles. But this book has a number of useful
insights that contribute to the WV challenge; it should be read in context
of Richared Davis' Information Management Architecture report to the DVA.
All of this ned to be included in the agenda of the next WV meeting and
the resurrection of the MDC, the importance of which several others have
also noted. This is highly significant for healthcare and really hard work
but remeber "There is No Free Lunch! Just Understand What You are Paying
For What You Are Getting" and that will be a sufficient incentive.
On Fri, 29 Apr 2005, Joseph Dal Molin wrote:
Perhaps who has the best EMR is the wrong question?
IMHO the VA has gone way beyond health record sharing (its good enough to go
to the next level) and into the realm of creating a "living evidence based"
knowledge network. It's the process and feedback loops the VA that have
established themselves in the VA and guide the process of care, yes, in large
part because of VistA. This is what makes the VA remarkable and as far as I
know unique.
So who has the best EMR is the wrong question....the better question is who
is using EMR technology most effectively....from my less than scientific but
fairly broad international perspective my vote goes to the VA. Ironically the
other health "system" I would pick doesn't have much technology at
all....what they do have is an excellent PMR, standardized, paper records and
a very good "organizational" approach..combined with a strong focus on
evidence based medicine.
Joseph
David Sommers wrote:
Good article. But I don’t understand the question. What does the VA have
that other EMRs don’t? The article was tackling the nation’s healthcare
problem of information exchange. The VA is simply an Enterprise sharing
within. I don’t think the VA is defining a health record sharing
initiative simply by using VistA (because even removing a patient from
VistA is hard with the cross linking).
/David.
------------------------------------------------------------------------
*From:* [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] *On Behalf Of
*Thurman Pedigo
*Sent:* Friday, April 29, 2005 11:10 AM
*To:* hardhats-members@lists.sourceforge.net
*Subject:* [Hardhats-members] EHR- Who leads the pack
http://www.economist.com/research/articlesBySubject/PrinterFriendly.cfm?Story_ID=3909439&subjectID=348909
<http://www.economist.com/research/articlesBySubject/PrinterFriendly.cfm?Story_ID=3909439&subjectID=348909>
This just in. Who, other than VA, has it in the USA?
Thanks,
thurman
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