Ok so on one hand we have a system that works, supports 400 hostpitals and users like: VistA and on the other the desire to build a future proof solution: let's call it Futura (I think Ford had a car by that name). The questions (perhaps a tad loaded) I would like to explore are:
1. Is the social opportunity cost of waiting for Futura versus implementing VistA globally worth it, ethical? 2. Is there a way to have your cake and eat it too....i.e. build Futura and get the benefits of VistA? 3. If everyone used VistA would Futura even matter? The perspective I am taking is the 80/20 approach with global improvement in health outcomes being the measure. -- Cheers, Joseph Joseph Dal Molin e-cology corporation www.e-cology.ca
