Just to interject again, the whole problem is Enterprise View, Life Cycle
Principles looking at first Conceptual Content and Implementation Process,
There are health informtics standards for the Conceptual Content of the
EHR as well as for the messages that may go in between. Look at ASTM
E-1384 and E-1633 very closely and you will find that much of VistA has
the basic data sets required for HIPAA Transactions and NCVHS data sets.
This is in synch with those data that have been required for the paper
record by "Medical Record Professionals" now know as Health Information
administration professionals. Their assocoation American Health
Information Management Association had a major role in those stds. Get to
know those stakeholders and look for maps of these standards to VistA as
well as to HL7 (the cross mapsd exist but not formally -yet) becuasue of
attitudinal perpspectives but we are working to get those into the VistA
Introduction documents/websites so they can be available to both acquiring
enterprises and supporting suppliers. Getting both groups onto common
clear targets will benefit both stakeholders and work will be done to get
this for the VistA Community as quickly as we can get fast and open dialog
about all the areas that are most beneficial to acquirer/supplier
relationships. Hopefully, some of this can be conveyed at the AMIA session
and also at the subsequent Fall VCM. Eventaully, the technical platform
details and options will be part of this information, the acquirers acn
decide what they pay for what they get (Note: one recent comment about
everything for nothing - we all know that ther is NO FREE LUNCH). That
realism will get serious attention when supported by useful detail - which
the VistA Community is fully capable of supplying.
On Wed, 28 Sep 2005, Mike Schrom wrote:
I BEG TO DISAGREE! EHR is important, but unless the significant number of us
in small practices can afford to implement it (and use a standard like VistA
to allow it interact with everyone else's systems), there will be no benefit
to health care as a whole. I harbor no illusions of doing VistA for free, but
if my solo, private practice can fit its whole EHR on two RAID disks, why
should I shoot a canary with a cannon?
LD 'Gus' Landis wrote:
That's four 250 gig hard drives at about $50 each (on sale).
If the EHR/EMR means so little as this approach is seriously
considered... why bother? I am unnerved by these discussions
since, I thought, that these EHR/EMR things were supposed to
be important. Just because one no longer needs to spend a
bizillion mega-bucks for a few megabytes doesn't mean that
such skimpy levels of technology should be touted as valid
approaches. Maybe everyone else knows you are not serious,
but I fear (because of the level of people I tend to work with)
that there are readers that are thinking that this whole VistA
thing can be done on little for nothing delivering everything.
We have done so much with so little for so long that
NOW WE CAN DO EVERYTHING WITH NOTHING!
(There's only One that I know of that can do that, be even
He had to speak it...)
--
LD Landis - N0YRQ - from the St Paul side of Minneapolis
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