> 
> At our hospital it was Cerner versus VistA.  Cerner won. 

Just curious. Was "Physician Satisfaction with Two Order Entry Systems",
a research paper published in the Journal of the American Medical
Informatics Association Volume 8 Number 5 Sep/Oct 2001 ever being used
for publicity purposes.

The research assesses physician satisfaction with the user interface of
CPRS of VistA with a commercially available product (the product was not
named) available at the Mount Sinai Hospital, NY. I don't know what the
other system is. Anyone knows which system is it?

I was pleasantly surprised to read that physicians were generally
dissatisfied with the commercial product and were more satisfied with
the CPRS. Just wondering if that research paper should be used more
extensively to promote VistA?

One of our "paperless" hospitals here is using the cerner system and
they had endless integration problems that had to be solved with huge
expenditure. With that experience with cerner, I have my doubts our Govt
will experiment with cerner again but what are the alternatives? And
they have money to spend :) When a new hospital is built they can't wait
for "volunteers" to tinker with a system to customize for the local
setting. So we're back to the "business model" that any group needs to
put together quickly to beat competition during this current surge in
uptake in computerized systems in hospitals and clinics.

 Had there
> been a vibrant, interested, critically massed open source community
> surrounding VistA, VistA would have won.
> 
I still think we need to present this in a "business" manner with a
trusted entity spear-heading it. And there is also the usual procurement
processes that one has to contend with - specifications for different
sized hospitals, bank guarantees, contracts, performance indicators,
timelines etc.

> Please recall that VistA is installed in every VA hospital and is
> beloved by users.  Please recall also that today the VA is
> acknowledged to be at the forefront of patient safety initiatives,
> for example, barcode scanning of medications at the point of care.
> 
Are there product brochures available for marketing VistA? The OSS
community is familiar with these but are the decision makers (usually
committees) aware of these? As mentioned by Joseph, there are bits at
the DoD and the Indian Health Services. Are these being integrated into
the version of VistA that are being promoted to the hospitals outside VA
and who is doing the integration? 

I see the major problem being lack of funds. Medsphere is progressing
rapidly because they do have a business plan and they also do have
funding. Am I right Scott?


Molly

-- 
Dr Molly Cheah
Primary Care Doctors' Organisation Malaysia (PCDOM)
eMail: [EMAIL PROTECTED]
Web-site: http://pcdom.org.my
DAGS Project: http://pcdom.org.my/dags/
DAGS Pilot: http://pilot.pcdom.org.my

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