(salient clip) Kevin Toppenberg wrote: Supposedly "in 6
months" there is going to be a corporate-wide roll out of some other EMR with lots of bells and whistles. Who knows how that will work out...
I havent posted much but have followed hardhats regularly and it is sobering to hear of an innovative VistA deployment, with agile Kevin, being swallowed up by bigger fish from high up on the food chain. When practices form business alliance with hospitals that is exactly what large IT vendors are looking for and those vendors don't leave behind pockets in the network for other genetic material to survive. No diversity, no evolution, and no interconnectedness for big regions of the genome beyond the empire. Other institutions such as a local health department or any freestanding practice are often offered the *opportunity* to buy discounted workstations for the big fix so that they can be compatible outposts locked into the system.
Maybe Kevin can remind us of the incremental deployment that is about to be regressed to paper/dictation while waiting for their standardized system. I seem to recall that the focus was primarily on maintaining the record narrative using the existing dictation/transcription services ,but filling the narrative through RPMS (I had thought the viewing tools were CPRS). I don't recall the stages of tiein for lab or pharmacy...and the practice management at Kevin's shop had remained an established legacy system. Now all that will change, but I still hope Kevin will write a summary essay of how well accepted this incremental deployment has been in his practice. Of course the reports of satisfaction at any level cannot stand in the way of *progress* in health care business consolidation. During any future mass *conversions*, this history will be appreciated.
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