The Health Resources and Services Administration, Bureau of Primary Health
Care (BPHC), the federal agency that provides funding for Federally
Qualified Health Centers like West Virginia, has developed a list of EMR
requirements that can be found here: http://bphc.hrsa.gov/chc/emrspecs.htm
We did a point by point comparison with VOE, the results of which used to be
published on the CMS website, but doesn't appear to be there any longer.

My recollection was that although there was a high correlation between their
requirements and VOE specifications, there were still significant gaps.
VistA, however, which included functionality not in the scope of VOE, had an
ever higher correlation. Others on this list, who participated in the
process, might have better memories than I do.

Absolutely, West Virginia was the wrong site or, more accurately, sites. To
start, they implemented VOE as an ASP model to support 4 geographically
disperse sites, which, again, was not in the scope of VOE. Doesn't mean that
model won't work for VOE, it just raised questions with which we weren't
prepared to deal. 

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of John Leo
Sent: Friday, October 14, 2005 1:01 AM
To: hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members] But done correctly, VistA is absolutely the
right answer.

Mike Ginsburg wrote:
> The trouble with VOE in West Virginia was/is that VOE was designed,
planned
> and funded for a different model of health care delivery. 

[jlz] Could you expand on that a little? Seems to me, as VOE moves to
"beta", that we're missing a great deal by not discussing what worked
and didn't work in the "alpha".

Was West Virginia the wrong site for what CMS wants to do?
Does anyone think they know what would have worked better there?

> WVPCN requirements
> are different from the requirements of a small practice. That includes
> functional requirements and resource requirements, particularly for
> implementation and training. 

[jlz] Again, more discussion of these factors could be very helpful.


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