> I feel a partnership between a couple of IT savyy clinicians and expert
 > programmers with a wholesome way of looking at things, can create the
 > infrastructure of the future HISs.

Nandalal, you have in one sentence described how VistA was first 
developed and evolved for the better part of its history, all be it the 
number of collaborators was much larger.

So the real issue IMHO is not designing and building the perfect system 
is but how to leverage the vast experience and knowledge that is imbeded 
in VistA's DNA.

Frankly speaking how many lives could be saved and improved by simply 
implementing VistA as far and wide as possible and at the same time 
engaging that community to improve the software? Is chasing perfection 
by starting from a clean slate worth the human opportunity cost?

Joseph



Nandalal Gunaratne wrote:
> 
> 
> Greg Woodhouse <[EMAIL PROTECTED]> wrote:    It is also 
> good to remember that medicine is still an art, not a science. Too much 
> "standardization" will not work with an art.
>   
> The human touch must prevail even in an IT enviorment.
>   
> I feel a partnership between a couple of IT savyy clinicians and expert 
> programmers with a wholesome way of looking at things, can create the 
> infrastructure of the future HISs.
>   
> Nandalal
>   


 
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