Greg, Ruben:
You are both correct on the need for evolution toward more effective system behavior and the key to that is effective mangement of the Life Cycle process, in this case in some coordination with the VA, IHS and DoD. Likewise, WV will need to organize to let the various health professional disciplines know what is going on in the VistA Community (WV Education Committee) and how WV will try to coordinate with key specialty disciplines (such as on the Pediatrics version of VistA Office) via its various Project teams. That structure, which is still being assembled, will be the key to how we can effectively pursue this issue. try to figure out what the various accredited Strandards developer Organizations are doing, how their efforts are being coordinated via ANSI HISB, and how these efforts enable entry points with respect to the various needs for common conventions (standards) in support of the capabiliie of your interest. One such organization would be the re-activated MDC which can be an informational focus for the effective use in healthcare (or banking/finance) for example. But get into an effective activity.

On Thu, 16 Jun 2005, Greg Woodhouse wrote:

I don't disagree, but people won't use a tehnology because the only
alternative is paper. We still need to ask how we can make the software
usable (and useful) for health care professionals, and then produce
software that meets their needs. If a product is painful to use, people
will avoid using it, no matter how logical the arguments you or I can
muster as to why they "should" use it might seem.

--- Ruben Safir <[EMAIL PROTECTED]> wrote:

Generally the systems that have been built are not good.  But,
nothing
is worse than paper and the medication error rates and the billions
of
dollars in costs due to injury make that crystal clear.

Ruben



"The most profound technologies are those that disappear."
--Mark Weiser

====
Greg Woodhouse
[EMAIL PROTECTED]
[EMAIL PROTECTED]






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