If you want to know what happened in WQashington State contact Steve Pence
at DSHS or some of the other harahts who are at Washington State dept of
Social and Health Services. The DSHS adopted DHCP in 1988 at the time of
the SEattle MUG Meeting through the FOIA process for its mental Health
Fcailities and Prisons. Another contact would be Walt Biggs who has worked
with that system ar Eastern State Hosp.
It takes much work to install an EHR in any enterprise, as the comments in
other hardhats messages about the UK reveal. Think Zachman Framework and
lots of education becuase "Its not the Way we've always Done IT" and
chnaging that is more than loading a code file - which should not be
surprising to any of the old hardhats. That situation just highlights the
task of WV (and CMS) in dveloping a productive approach.
Arden W. Forrey PhD
Dept of Restorative Dentistry
University of Washington School of Dentistry
206-616-1875 Phone
206-543-7783 FAX
On Mon, 4 Jul 2005, chuck5566 wrote:
Isn't VistA being used by state hospitals in Washington State?
(http://www.hardhats.org/adopters/vista_adopters.html)
I wonder what changes they made?
On Jul 3, 2005, at 3:41 PM, Todd Berman wrote:
On Sun, 2005-07-03 at 13:20 -0700, Gregory Woodhouse wrote:
Have you ever considered what would happen if you tried to put a
dollar figure on the amount of effort that is expended right here on
this list in trying to make Vista work in a non-VA setting? That
effort is not free, and any effort to evaluate the cost
effectiveness of Vista as a solution needs to take that into account.
Note that I am NOT saying that Vista isn't a cost effective
alternative, only that we have a tendency to (sometimes considerably)
underestimate how much it costs to implement Vista in a new environment.
===
Gregory Woodhouse
[EMAIL PROTECTED]
"Design quality doesn't ensure success, but design failure can ensure
failure."
--Kent Beck
Yes, absolutely it is not free. But it is a one-time sunk cost. Well, in
theory. There appears to be three types of work in making VistA work in
a non-VA setting.
#1) Writing code to remove certain VA assumptions that are not as needed
outside of the VA, like Agent Orange stuff, changing from using SSN as a
MRN to a more realistic MRN.
#2) Writing code to interface with existing systems that you see in a
real 'in-the-wild' system.
#3) Writing code to provide functionality that is not as important in
the VA systems, like pediatrics, etc.
All 3 of those are one-time costs, absolutely #1 and #3. #2 is
interesting, because it is a lot of different sunk costs, as you have to
interface with nearly limit-less potential number and combination of
systems. However, this can be solved on a system by system basis.
Not attempting to marginalize the effort, just making sure it is stated
that these are things that have to be done regardless, and once
finished, benefit everyone multiple times.
--Todd
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