Iron law of oligarchy: http://en.wikipedia.org/wiki/Iron_law_of_oligarchy



>
> ------------------------------
> Date: Fri, 22 Oct 2010 20:19:29 +0100
> From: thomas.beale at oceaninformatics.com
> To: openehr-technical at openehr.org
> Subject: Re: Articles on Healthcare, Complexity, Change, Process, IT and
> the role of openEHR etc
>
>
> Hi Derek,
>
> it is very simple. Not being an official standard has been a real problem
> for government agencies, obsessed with official standards.
>
> - thomas beale
>
>
> On 22/10/2010 17:12, Derek Meyer wrote:
>
> Tony,
>
> This is very impressive piece of work.  Every since I first came across
> openEHR I have intuitively felt that it is closer to the 'solution' than
> more static attempts at standardization. So why is progress so slow? I've
> appplied some lateral thinking to this, and come up with what many people on
> this list may (at best) think contrarian - but at the risk of being
> flamed....
>
> The Case for NPfIT 2.0 www.nationalhealthexecutive.com page 52-53.
>
> (I'll go get my hard hat now...)
>
> Best wishes,
>
> Derek.
>
> On 22/10/10, *"Shannon Tony (Leeds Teaching Hospitals NHS Trust)" *
> <tony.shannon at nhs.net> <tony.shannon at nhs.net> wrote:
>
> Late last year I said I would work on some material to help explain openEHR
> in the wider context of healthcare change during 2010.
>
> It has taken me longer that I originally planned but I've recently shared
> some articles online towards that end.
> http://frectal.com/book/
>
> The articles explore issues such as
> Healthcare under pressure,
> Complexity of healthcare+management+IT,
> Change and the elements within
> Aligning process improvement efforts with IT
>
> In the final articles I explore healthcare change going forward, the need
> for better IT and particularly why I believe openEHR has the potential to
> tackle the complexity and  diversity of healthcare..
> http://frectal.com/book/healthcare-change-the-way-forward/
>
> http://frectal.com/book/healthcare-change-the-way-forward/healthcare-openehr%e2%80%99s-potential-to-handle-complexity-diversity/
>
> In the spirit of evolutionary change, they are up in draft form for now, so
> comments on any article are welcome..
>
> Hope you find it of some interest/value in explaining openEHR's place in
> the wider world.
> Please feel free to share..
>
> Kind regards
>
> Tony
>
> Dr Tony Shannon
> Consultant in Emergency Medicine, Leeds Teaching Hospitals
> Clinical Lead for Informatics, Leeds Teaching Hospitals
> Chair, Clinical Review Board, openEHR Foundation
> tony.shannon at nhs.net
> +44.789.988.5068
>
>
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>
> --
>   [image: Ocean Informatics]  *Thomas Beale
> Chief Technology Officer, Ocean Informatics<http://www.oceaninformatics.com/>
> *
>
> Chair Architectural Review Board, *open*EHR 
> Foundation<http://www.openehr.org/>
> Honorary Research Fellow, University College 
> London<http://www.chime.ucl.ac.uk/>
> Chartered IT Professional Fellow, BCS, British Computer 
> Society<http://www.bcs.org.uk/>
> Health IT blog <http://www.wolandscat.net/>
> *
> *
>
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