The chain of command is many levels high.  I have tried talking to
those locally.  The real decision makers are in Florida.   I am hoping
that the doctors that will suddenly have their EMR taken away will
complain and get their attention.

Kevin

On 5/24/06, Joseph Dal Molin <[EMAIL PROTECTED]> wrote:
This sounds like an episode from the black and white version of the
"Twilight Zone".... I have never heard of IT migration planning based on
a scorched earth model before. Kevin, do the powers that be have a clue
about the consequences of just turning off the switch while they figure
out how to replace what you have...if they don't you should make sure
they do. If I were in their shoes I would be worried about a potential
lawsuit because patient care was compromised.

Joseph

Kevin Toppenberg wrote:
> I'm frustrated and need to vent a bit.
>
> My medical group now consists of 2 office complexes--the main office
> and my satellite office.  At the end of this month, most of the
> doctors (those in the main office) will be changing management such
> that they become part of a nearby hospital.  That hospital, in turn,
> is part of a much larger multi-state healthcare network.
>
> So the hospital is going to redo the network connections, bringing
> hospital-level security.  Everything has to be standardized.  And
> guess what?  There is "zero possibility" that a linux server will be
> allowed on that network.  And if I upgraded to the internet-capable
> CPRS client, and put my linux server on a separate network, even that
> would have to go through a (lengthy) coporate approval process which I
> doubt would be successful.
>
> So in a week, my main office will go from having a cost-effective
> opensource EMR, back to a point where transcriptionists type up notes
> in Word, print, then delete the file.  What a waste!  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 don't even know who to be upset at.  I understand the hospital's
> need to standardize and secure.  But it seems that for them, it is 2
> or 3 large steps backwards.
>
> I will continue to use VistA in my office for now.
>
> It's fair to say that I'm ticked off...
>
> Kevin
>
>
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