Mike - we did the same point by point with VistA and the BPHC grid.
Vista was better than 97% compliant, as I recall, and a number of the
non-compliant items were optional.   

Duncan Pringle, PMP
perotsystems
voice   813.371.7284
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[EMAIL PROTECTED]

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mike
Ginsburg
Sent: Saturday, October 15, 2005 9:10 AM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] But done correctly, VistA is absolutely
the right answer.

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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