On Mon, 02 Apr 2001 09:39:39 Wayne Wilson wrote:
...
>Better
>could be along many dimensions:
>
>job satisfaction
>patient outcome
>organizational and societal expertise
>efficiency of person performing X
>efficiency of organization needing X performed.
>
> In fact, I often find the latter two intertwined.
...
Good one Wayne!
The implication of this multi-dimensional matrix of "betterness" is that each
organization (at its locale and at any given time) will need to decide its own best
set of trade-offs. Ideally, the information system will have the flexibility to
support these different information needs and workflow at minimal cost.
Certainly one can always hire a team of programmers to flex any information system to
fit the new needs (even when without access to the source code, most systems can be
reverse engineered given sufficient money). But, since we now know one size does not
fit all, it may be advantageous to start with a system that is less costly to flex.
This may mean open source and modular architecture.
Cheers,
Andrew
---
Andrew P. Ho, M.D.
OIO: Open Infrastructure for Outcomes
www.TxOutcome.Org
Assistant Clinical Professor
Department of Psychiatry, Harbor-UCLA Medical Center
University of California, Los Angeles
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