Scot,
your links did not come through.
-FT
On Sun, Apr 19, 2009 at 1:09 PM, Scot Silverstein
<[email protected]> wrote:
>>
> The data model is more a symptom than an underlying cause of the problem.
>
> I would agree and say in more detail that the lack of understanding of the
> critical importance of a robust conceptual and logical data model for the
> myriad facets of medicine is a symptom of an underlying set of problems -
> that fall under the very broad categories of false assumptions and
> underestimations.
>
> The set of problems has been studied with regard to IT for many years; for
> example see this work:
>
> Social Informatics. An introductory essay entitled “Learning from
> Social Informatics” by R. Kling at the University of Indiana can be
> found at this
> link. The book “Understanding And Communicating Social
> Informatics” by Kling, Rosenbaum & Sawyer, Information Today, 2005
> (Amazon.com link here)
> was based on this essay.
>
> Scot
>
> [email protected] wrote: -----
>
> To: [email protected]
> From: Rod Roark <[email protected]>
> Sent by: [email protected]
> Date: 04/19/2009 11:08AM
> cc: [email protected], "[email protected]"
> <[email protected]>
> Subject: Re: [openhealth] Re: I have been invited to testify on 'Meaningful
> Use'
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
> Interesting article, but I'm not sure its conclusions are on-target.
>
> The data model is more a symptom than an underlying cause of the problem.
>
>
> In my view the key point is that we cannot trust the existing
>
> "custodians" of medical IT to get it right. They haven't come close
>
> yet. The only way we'll get there is to require complete transparency
>
> at all levels. And fortunately the new administration does seem to
>
> value transparency.
>
>
> And yes, transparency is of course what FOSS is all about. However that
>
> point should not be raised prematurely.
> .. but perhaps when responding to
>
> the question of "how do we achieve transparency"
> ....
>
>
> Rod
>
>
> Scot Silverstein wrote:
>
>> If you get a chance, please touch on "meaningful misuse" as in this story
>> by a software engineer who became a patient:
>
>>
>
>> The Data Model That Nearly Killed Me
>
>>
> http://www.syleum.
> com/2009/
> 03/17/healthcare
> -data-model/
>
>
>>
>
>> Scot
>
>>
>
>> ------------
> ---------
> ---------
> --
>
>> Scot M. Silverstein, MD
>
>> Consultant in Medical Informatics
>
>> Teaching faculty in Healthcare Informatics and IT (Sept. 2007-)
>
>> Director, Institute for Healthcare Informatics (2005-7)
>
>> College of Information Science and Technology
>
>> Drexel University
>
>> 3141 Chestnut St.
>
>> Philadelphia, PA 19104-2875
>
>>
>
>> Email:
> scot.silverstein@
> ischool.drexel.
> edu
>
>
>> Bio: www.ischool.
> drexel.edu/
> faculty/ssilvers
> tein/biography.
> htm
>
>> Common Examples of HIT difficulty:
>
>> www.ischool.
> drexel.edu/
> faculty/ssilvers
> tein/medinfo.
> htm
>
>> ARS KU3E, member www.arrl.org
>
>>
>
>>
> -----openhealth@
> yahoogroups.
> com
> wrote: -----
>
>>
>
>> To:
> open-ehealth-
> collaborative@
> googlegroups.
> com
>
>
>> From: fred trotter <
> fred.trotter@
> gmail.com
>>
>
>> Sent by:
> openhea...@yahoogro
> ups.com
>
>
>> Date: 04/18/2009 06:05PM
>
>> cc: "
> hardh...@googlegrou
> ps.com
> " <
> hardh...@googlegrou
> ps.com
>>, "
> openhea...@yahoogro
> ups.com
> " <
> openhea...@yahoogro
> ups.com
>>
>
>> Subject: [openhealth] Re: I have been invited to testify on 'Meaningful Use'
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>>
>
>> Sounds good... its got to be short. I do not have much time!
>
>>
>
>>
>
>> -FT
>
>>
>
>>
>
>> On Sat, Apr 18, 2009 at 4:52 PM, Edmund Billings
>
>>
>
>> <
>
>> edmund.billings@
>
>> medsphere.
>
>> com
>
>>> wrote:
>
>>
>
>>> We should collaborate on a position paper.... I will work some points.
>
>>
>
>>
>
>>> Edmund
>
>>
>
>>
>
>>> ____________
>
>> ______
>
>>
>
>>> Edmund Billings MD
>
>>
>
>>> 415.505.8953
>
>>
>
>>
>
>>> On Apr 18, 2009, at 2:46 PM, "fred trotter" <
>
>> fred.trotter@
>
>> gmail.com
>
>>
>
>>> wrote:
>
>>
>
>>
>
>>
>
>>>> Hi,
>
>>
>
>>>> It looks like I have been invited to testify in Washington on
>
>>
>
>>>> what it means to have 'Meaningful Use' of EHR systems.
>
>>
>
>>
> http://www.ncvhs.
>
>
>> hhs.gov/090428ag
>
>> 2.pdf
>
>>
>
>>
>
>>
>
>>>> As before, I want to ensure that my testimony reflects the
>
>>
>
>>>> attitudes and values of our culture. Using Google moderator for the
>
>>
>
>>>> CCHIT meeting seemed to work. It is even more important this time,
>
>>
>
>>>> because I may be the only voice of reason (the FOSS angle) at this
>
>>
>
>>>> meeting. For this reason:
>
>>
>
>>
>
>>
> http://moderator.
>
>
>> appspot.com/
>
>> #15/e=4a793&
>
>> t=4a795
>
>>
>
>>
>
>>
>
>>
>
>>>> --
>
>>
>
>>>> Fred Trotter
>
>>
>
>>
> http://www.fredtrot
>
>
>> ter.com
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
> [Non-text portions of this message have been removed]
>
>
>
> ------------------------------------
>
> Yahoo! Groups Links
>
>
>
>
--
Fred Trotter
http://www.fredtrotter.com
