Re: [Hardhats-members] Memorial service for Fil Beza

2005-03-14 Thread Chris Richardson
It was a lovely service and a number of Fil's former employees were in
attendance, Sally Najera, Rosila Milward, and Steven Hill.  They all worked
for Fil when he was the IRM director at Martinez for the VA.  Fil had been a
supporter of WorldVistA and the whole of the VistA community.  Fil authored
some of the instructions that went into the 2.51 release of the Open VistA
release, and his name will remain a part of the Open VistA model.  With any
luck, we will carry forward his dreams into the future.

   Best wishes;   Chris Richardson

- Original Message -
From: George Timson [EMAIL PROTECTED]
To: Hardhats hardhats-members@lists.sourceforge.net
Sent: Sunday, March 13, 2005 8:12 AM
Subject: [Hardhats-members] Memorial service for Fil Beza


 Some of us Hardhats (including Wally Fort, Chris Richardson, Greg
Woodhouse,
 and myself) were out east of San Francisco yesterday for Fil Beza's
memorial
 service and follow-on dinner.  The service was a Mass, and many of us
 learned for the first time that Fil as a young man in the Philippines had
 originally had a vocation to be a priest.  I for one was not at all
 surprised to hear this, although I am afraid that Fil would have turned
out
 to be a pretty cynical priest.  Can you imagine his sotto-voce
commentaries,
 in later life, on a Dan Bishop who was really a Bishop?!  ;-)

 Anyway, the total VA contingent at the ceremony numbered about 20, out of
 maybe a total of 70 family and friends.  I made a point of telling Fil's
 widow at the reception that there were hundreds of people around the
 country, whom she'll never meet, that were grieving with her this last
 month.  Like so many of you reading this.

 Yours,

 --George Timson







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[Hardhats-members] Linux Medical News Stuff.

2005-03-14 Thread Ignacio Valdes
Okay, too many years as a software engineer has not made me very good 
at sales so I'm somewhat embarassed to announce this. Apologies in 
advance if this is inappropriate or spam or whatever, here it comes:

You can FINALLY buy cheesy Linux Medical News stuff (shirts, hats, 
buttons, mugs, etc.) at the Linux Medical News FOSS store! 
http://www.cafepress.com/lmnstore How many sentences ending with an 
exclamation point can I write!!! Choose from your favorite logos and 
slogans! Like:

Life is short, medical software is forever.
The Hippocratic Oath is Public Domain.
Floss with FOSS.
www.linuxmednews.com
Purchasing these shows how stylish you are, helps keeps Linux Medical 
News http://www.linuxmednews.com and the Journal of Open Source 
Medical Computing http://www.josmc.org running, as well as shows your 
support for Free and Open Source Software in medicine. Slogan 
suggestions, new logo combination and product suggestions to my e-mail 
are welcome.

Thanks to John Norris for making this happen. Sincerely,
-- Ignacio Valdes, MD, MS
-- Editor: Linux Medical news, JOSMC
-- http://www.linuxmednews.com
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[Hardhats-members] House VA Committee is recommending a $400 million cut

2005-03-14 Thread Nancy Anthracite
Committee calls for VA tech cut
The House Veterans Affairs Committee is recommending a $400 
million cut in the VA's proposed IT budget for 2006.
http://www.fcw.com/article88249
-- 
Nancy Anthracite


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Re: [Hardhats-members] Need help programmatically signing a progress note

2005-03-14 Thread Kevin Toppenberg
Joseph,

We have several doctors that are near retirement. 
They have not had to interact with a computer, and
they don't plan to start.

We currently are a paper chart based office.  My VistA
is primarily a place to archive progress notes --
though I hope to make a neat program available to
others that might want to take advantage of options. 
For example, I am hoping to save about $12,000 a year
in transcription by using voice recognition directly
into CPRS.

Currently, after the transcriptionist types up the
text, it is printed and presented to the doctor either
as a batch for review, or it is put onto the chart for
review then or later.  I think that the best option
will be for the doctor's nurse to batch sign and print
the notes.  If some want to use CPRS the way it is
designed, then they will have that options.

Kevin



--- Joseph Dal Molin [EMAIL PROTECTED] wrote:

 Kevin,
 
 Could you describe the doctor's reluctance in more
 detailif I 
 understand the work flow the doc's dictate a
 note...it gets typed and 
 the doc needs to sign it for it to be seenso
 what they are resisting 
 is keying in their electronic signatures repeatedly
 for a batch of 
 transcribed notes...is this a case of
 keyboardphobia?  It will be 
 helpful to know what doc's don't like about using
 VistA as much as what 
 they likethank you for bringing this to our
 attention.
 
 Are they still reviewing the transcription for
 accuracy and how are they 
 doing this? Perhaps integrating a finger print
 scanner or smart card for 
 capturing a signature would be a good alternative.
 
 Joseph
 
 Kevin Toppenberg wrote:
  I need some help.  I have been stuck on this one
 point
  for several days.
  
  The doctors at my group are not willing to sit at
 a
  computer and sign their notes electronically.  And
  notes are not visible to others unless they are
  signed. 
 
 

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RE: [Hardhats-members] Need help programmatically signing a progress note

2005-03-14 Thread Thurman Pedigo
I will answer this as a physician general response. Hospital notes are
different. All are require signature.  Reading (and signing) a clinic note
almost doubles the work. Depositions and court testimony I have seen seem to
have no bearing on whether or not the note is signed - even when there are
typo's or other errors. We had a case go to trial using a pre-FileMan EMR
with signed hand-written notes (physician preferred writing to dictating),
and the printed computerized (unsigned) notes became the evidence in the
trial. I don't think anyone ever read the handwritten notes. 

Today I type my notes and find them loaded with typo's and errors. I don't
initial them, though I occasionally think I we need to start initialing the
note. 

I have been dictating notes for over 30 years and typing my own notes for
the past 2 years, using computer in practice since 1970 and used
computerized medical records since 1985. As a strong advocate of EMR I still
appreciate the challenge of getting notes signed off. I understand an
Agency of the Federal Government adopting such standards. However, for
private practice, it sure would be nice to be able to turn it off.

Thanks,
thuran

P.S.: How many of you notice MSWord likes to convert EHR to HER? Maybe EHR
is a bad acronym.

 -Original Message-
 From: [EMAIL PROTECTED] [mailto:hardhats-
 [EMAIL PROTECTED] On Behalf Of Joseph Dal Molin
 Sent: Sunday, March 13, 2005 9:48 PM
 To: hardhats-members@lists.sourceforge.net
 Subject: Re: [Hardhats-members] Need help programmatically signing a
 progress note
 
 Kevin,
 
 Could you describe the doctor's reluctance in more detailif I
 understand the work flow the doc's dictate a note...it gets typed and
 the doc needs to sign it for it to be seenso what they are resisting
 is keying in their electronic signatures repeatedly for a batch of
 transcribed notes...is this a case of keyboardphobia?  It will be
 helpful to know what doc's don't like about using VistA as much as what
 they likethank you for bringing this to our attention.
 
 Are they still reviewing the transcription for accuracy and how are they
 doing this? Perhaps integrating a finger print scanner or smart card for
 capturing a signature would be a good alternative.
 
 Joseph
 
 Kevin Toppenberg wrote:
  I need some help.  I have been stuck on this one point
  for several days.
 
  The doctors at my group are not willing to sit at a
  computer and sign their notes electronically.  And
  notes are not visible to others unless they are
  signed.
 
 
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Re: [Hardhats-members] Need help programmatically signing a progress note

2005-03-14 Thread Greg Kreis




Thurman Pedigo wrote:

  P.S.: How many of you notice MSWord likes to convert EHR to HER? Maybe EHR
is a bad acronym.

  

I submit that Word is out of control. The correction features I am
sure sounded good on paper, but are so annoying that I turn them off.
Better to have some sophisticated AI driving it before offering it
again in a product.

  
  
-Original Message-
From: [EMAIL PROTECTED] [mailto:hardhats-
[EMAIL PROTECTED]] On Behalf Of Joseph Dal Molin
Sent: Sunday, March 13, 2005 9:48 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Need help programmatically signing a
progress note

Kevin,

Could you describe the doctor's reluctance in more detailif I
understand the work flow the doc's dictate a note...it gets typed and
the doc needs to sign it for it to be seenso what they are resisting
is keying in their electronic signatures repeatedly for a batch of
transcribed notes...is this a case of keyboardphobia?  It will be
helpful to know what doc's don't like about using VistA as much as what
they likethank you for bringing this to our attention.

Are they still reviewing the transcription for accuracy and how are they
doing this? Perhaps integrating a finger print scanner or smart card for
capturing a signature would be a good alternative.

Joseph

Kevin Toppenberg wrote:


  I need some help.  I have been stuck on this one point
for several days.

The doctors at my group are not willing to sit at a
computer and sign their notes electronically.  And
notes are not visible to others unless they are
signed.
  


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RE: [Hardhats-members] Need help programmatically signing a progress note

2005-03-14 Thread Cameron Schlehuber
In Word, under Tools, select AutoCorrect Options, under Replace type EHR (it
will show Her as the replacement) then select Delete.  No more autocorrect
of EHR to HER.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Thurman
Pedigo
Sent: Monday, March 14, 2005 10:21 AM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] Need help programmatically signing a
progress note

[Schlehuber, Cameron] snip

P.S.: How many of you notice MSWord likes to convert EHR to HER? Maybe EHR
is a bad acronym.



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Re: [Hardhats-members] Need help programmatically signing a progress note

2005-03-14 Thread Nancy Anthracite
Got to Tools- Auto Correct - Exceptions - and put in Don't correct:  EHR

or better yet ...

Use Open Office ;-)

On Monday 14 March 2005 12:20 pm, Thurman Pedigo wrote:
 I will answer this as a physician general response. Hospital notes are
 different. All are require signature.  Reading (and signing) a clinic note
 almost doubles the work. Depositions and court testimony I have seen seem
 to have no bearing on whether or not the note is signed - even when there
 are typo's or other errors. We had a case go to trial using a pre-FileMan
 EMR with signed hand-written notes (physician preferred writing to
 dictating), and the printed computerized (unsigned) notes became the
 evidence in the trial. I don't think anyone ever read the handwritten
 notes.

 Today I type my notes and find them loaded with typo's and errors. I don't
 initial them, though I occasionally think I we need to start initialing the
 note.

 I have been dictating notes for over 30 years and typing my own notes for
 the past 2 years, using computer in practice since 1970 and used
 computerized medical records since 1985. As a strong advocate of EMR I
 still appreciate the challenge of getting notes signed off. I understand
 an Agency of the Federal Government adopting such standards. However, for
 private practice, it sure would be nice to be able to turn it off.

 Thanks,
 thuran

 P.S.: How many of you notice MSWord likes to convert EHR to HER? Maybe EHR
 is a bad acronym.

  -Original Message-
  From: [EMAIL PROTECTED] [mailto:hardhats-
  [EMAIL PROTECTED] On Behalf Of Joseph Dal Molin
  Sent: Sunday, March 13, 2005 9:48 PM
  To: hardhats-members@lists.sourceforge.net
  Subject: Re: [Hardhats-members] Need help programmatically signing a
  progress note
 
  Kevin,
 
  Could you describe the doctor's reluctance in more detailif I
  understand the work flow the doc's dictate a note...it gets typed and
  the doc needs to sign it for it to be seenso what they are resisting
  is keying in their electronic signatures repeatedly for a batch of
  transcribed notes...is this a case of keyboardphobia?  It will be
  helpful to know what doc's don't like about using VistA as much as what
  they likethank you for bringing this to our attention.
 
  Are they still reviewing the transcription for accuracy and how are they
  doing this? Perhaps integrating a finger print scanner or smart card for
  capturing a signature would be a good alternative.
 
  Joseph
 
  Kevin Toppenberg wrote:
   I need some help.  I have been stuck on this one point
   for several days.
  
   The doctors at my group are not willing to sit at a
   computer and sign their notes electronically.  And
   notes are not visible to others unless they are
   signed.
 
  ---
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-- 
Nancy Anthracite


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RE: [Hardhats-members] Re: Need help programmatically signing a p rogress note

2005-03-14 Thread Kirk . Fox
This will autosign a note.
ES   ;SIGNS THE NOT FOXK
 S TIUES=1_U_$P($G(^VA(200,+DUZ,20)),U,2,3)
 D ES^TIURS(R,TIUES) W ES _R
 K TIUES
 Q

 DUZ=THE SIGNER
 R=IEN OF NOTE IN FILE 8925


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Kevin
Toppenberg
Sent: Monday, March 14, 2005 11:48 AM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Re: Need help programmatically signing a
progress note


George,

You are right.  What I should have said is that list
manager is launched with the name of a screenman
routine/launch point/etc.  Thus a Screenman page is
launched.

Sorry.

Kevin

--- George Timson [EMAIL PROTECTED] wrote:

 To refer to the ^VALM* routines as ScreenMan
 creates confusion.  The LM 
 in VALM stands for List Manager.
 
 ScreenMan is an entirely different tool, part of
 FileMan, and FileMan-aware, 
 which List Manager is not, in any important way.
 
 --George Timson 
 
 
 
 

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RE: [Hardhats-members] Need help programmatically signing a progress note

2005-03-14 Thread Kevin Toppenberg
I fully agree.  

When I get my system going for batch sign and print,
I'll post the code.

Kevin

--- Thurman Pedigo [EMAIL PROTECTED] wrote:

 I will answer this as a physician general response.
 Hospital notes are
 different. All are require signature.  Reading (and
 signing) a clinic note
 almost doubles the work. Depositions and court
 testimony I have seen seem to
 have no bearing on whether or not the note is signed
 - even when there are
 typo's or other errors. We had a case go to trial
 using a pre-FileMan EMR
 with signed hand-written notes (physician preferred
 writing to dictating),
 and the printed computerized (unsigned) notes became
 the evidence in the
 trial. I don't think anyone ever read the
 handwritten notes. 
 
 Today I type my notes and find them loaded with
 typo's and errors. I don't
 initial them, though I occasionally think I we need
 to start initialing the
 note. 
 
 I have been dictating notes for over 30 years and
 typing my own notes for
 the past 2 years, using computer in practice since
 1970 and used
 computerized medical records since 1985. As a strong
 advocate of EMR I still
 appreciate the challenge of getting notes signed
 off. I understand an
 Agency of the Federal Government adopting such
 standards. However, for
 private practice, it sure would be nice to be able
 to turn it off.
 
 Thanks,
 thuran
 
 P.S.: How many of you notice MSWord likes to convert
 EHR to HER? Maybe EHR
 is a bad acronym.
 
  -Original Message-
  From: [EMAIL PROTECTED]
 [mailto:hardhats-
  [EMAIL PROTECTED] On Behalf Of
 Joseph Dal Molin
  Sent: Sunday, March 13, 2005 9:48 PM
  To: hardhats-members@lists.sourceforge.net
  Subject: Re: [Hardhats-members] Need help
 programmatically signing a
  progress note
  
  Kevin,
  
  Could you describe the doctor's reluctance in more
 detailif I
  understand the work flow the doc's dictate a
 note...it gets typed and
  the doc needs to sign it for it to be seenso
 what they are resisting
  is keying in their electronic signatures
 repeatedly for a batch of
  transcribed notes...is this a case of
 keyboardphobia?  It will be
  helpful to know what doc's don't like about using
 VistA as much as what
  they likethank you for bringing this to our
 attention.
  
  Are they still reviewing the transcription for
 accuracy and how are they
  doing this? Perhaps integrating a finger print
 scanner or smart card for
  capturing a signature would be a good alternative.
  
  Joseph
  
  Kevin Toppenberg wrote:
   I need some help.  I have been stuck on this one
 point
   for several days.
  
   The doctors at my group are not willing to sit
 at a
   computer and sign their notes electronically. 
 And
   notes are not visible to others unless they are
   signed.
  
  
 

---
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  Read honest  candid reviews on hundreds of IT
 Products from real users.
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 Start reading now.
 

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Re: [Hardhats-members] House VA Committee is recommending a $400 million cut

2005-03-14 Thread Ron Ponto






Now I understand why the IT department at smaller VA hospitals are wondering about their budgets. I work as the Lab Information Manager at a local VA hospital and have already had problems requesting new IT equipment to replace older models. How can one section of the VA be forcing new products such as VBECS (Vista Blood Bank) which will require it's own workstation, line printer and barcode printer and 2 servers (one will be redundant) on the VISN's and require that the money be taken off the top of the VISN's already meager budget? Congress does not appropriate new money for new projects but requires the VA to find the money for it anyway.
Another major project on the horizon is Data Standardization which will also chew up a large amount of the VISN's budget.
I more sentence and I will get off the "soapbox". The VA should be one big company that uses the "same" types of equipment at all VA's and everyone should have the amount of and proper
equipment needed to facilitate meeting the VA's Mission. If you want us to do something new, give us the money to do it..

---Original Message---


From: Nancy Anthracite
Date: 03/14/05 10:17:20
To: Hardhats
Subject: [Hardhats-members] House VA Committee is recommending a $400 million cut

Committee calls for VA tech cut
The House Veterans Affairs Committee is recommending a $400
million cut in the VA's proposed IT budget for 2006.
http://www.fcw.com/article88249
--
Nancy Anthracite


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RE: [Hardhats-members] House VA Committee is recommending a $400 million cut

2005-03-14 Thread Francis . Gilbert



As I read the article, the cut in funds is a 
rebuke for the problems at Bay Pines. Rather than fix the problems of 
outsourcing and management, the response is to reduce the budget. "You keep 
getting sick, so we're going to stop providing these immunizations," or 
logic of that sort. I once saw a cartoon of a man stopped by the side of the 
road, throwing dollar bills at a flat tire. The caption was, "liberal throwing 
money at a problem." I suppose one could consider this a conservative 
counter-flinch to that liberal reflex. Cliché-wise, though, babies and bathwater 
come to mind.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Ron 
  PontoSent: Monday, March 14, 2005 4:29 PMTo: 
  hardhats-members@lists.sourceforge.netSubject: Re: 
  [Hardhats-members] House VA Committee is recommending a $400 million 
  cut
  

  
Now I understand why the IT department at smaller VA 
hospitals are wondering about their budgets. I work as the Lab 
Information Manager at a local VA hospital and have already had problems 
requesting new IT equipment to replace older models. How can one section 
of the VA be forcing new products such as VBECS (Vista Blood Bank) which 
will require it's own workstation, line printer and barcode printer and 
2 servers (one will be redundant) on the VISN's and require that the 
money be taken off the top of the VISN's already meager budget? Congress 
does not appropriate new money for new projects but requires the VA to 
find the money for it anyway.
Another major project on the horizon is Data Standardization which 
will also chew up a large amount of the VISN's budget.
I more sentence and I will get off the "soapbox". The VA should be 
one big company that uses the "same" types of equipment at all VA's and 
everyone should have the amount of and proper
equipment needed to facilitate meeting the VA's Mission. If you 
want us to do something new, give us the money to do it..

---Original 
Message---


From: Nancy Anthracite
Date: 03/14/05 
10:17:20
To: Hardhats
Subject: 
[Hardhats-members] House VA Committee is recommending a $400 million 
cut

Committee calls for VA tech cut
The House Veterans Affairs Committee is recommending a $400
million cut in the VA's proposed IT budget for 2006.
http://www.fcw.com/article88249
--
Nancy Anthracite


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[Hardhats-members] Teamspeak and Networks and AMIA and reporters

2005-03-14 Thread Nancy Anthracite
The word must have gotten out to the NEMUG members as I just had a 
conversation with Liz who works for Partners.  She raises parakeets, so I 
will have to introduce her to Tom Ackerman so she can learn how to train 
them. ;-)  Parakeets transmit very well over TeamSpeak. I think Liz will be 
joining us at the WorldVistA meeting.

I was pleased to hear that Partners knows that MUMPS isn't a dead language

I also spoke with John Mitchell in California. He said he was trying to join 
the ranks of the retired but hasn't succeeded yet. He will remotely join the 
meeting about reviving the MDC on Saturday. 

Bob Witkop connected me up with  John Paladino from Intersystems in 
Cambridge/Boston.  I spoke with him via telephone today.  We will have a very 
nice network setup at Intersystems so that I think we should be able to do 
some audio and maybe even a webcam with more than just the MDC session. I 
will have to do some experimenting with using a microphone that can serve a 
room connected up to TeamSpeak. I will take my video camera off of raccoon 
surveillance duty and bring it to Boston.

Thanks to Ignacio's prodding, I think we have gotten enough people for a panel 
for the AMIA meeting Open Source session.  Now we have to get a proposal 
together that will make it through the selection process. Bhaskar has made a 
nice start on it.

Ignacio also needs some more reporter volunteers for Linux Med News.  He seems 
willing to have reporters who will report on the sessions they want to go 
to rather than having someone cover the whole meeting, so there will be lots 
of opportunities for people to help out a great cause without committing to 
the covering everything like a real reporter.
-- 
Nancy Anthracite


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Re: [Hardhats-members] WorldVistA wikki change requests

2005-03-14 Thread Kevin Toppenberg
--- Joseph Dal Molin [EMAIL PROTECTED] wrote:

 
 We did put a link on the worldvista.org
 sitemaybe needs to be more 
 obvious.
 
 Joseph


Ahhh, so you did.  I just found it.  Sorry.

Kevin




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RE: [Hardhats-members] Re: Need help programmatically signing a p rogress note

2005-03-14 Thread Kevin Toppenberg
Kirk,

Thank you so much.  I was focusing on EDSIG^TIURS.  I
hadn't had a chance to trance through it yet.  I'm
glad you saved me the time, because ES^TIURS is
exactly what I needed.

Thanks!

Kevin

--- [EMAIL PROTECTED] wrote:

 This will autosign a note.
 ES   ;SIGNS THE NOT FOXK
  S TIUES=1_U_$P($G(^VA(200,+DUZ,20)),U,2,3)
  D ES^TIURS(R,TIUES) W ES _R
  K TIUES
  Q
 
  DUZ=THE SIGNER
  R=IEN OF NOTE IN FILE 8925
 
 
 -Original Message-
 From: [EMAIL PROTECTED]

[mailto:[EMAIL PROTECTED]
 Behalf Of Kevin
 Toppenberg
 Sent: Monday, March 14, 2005 11:48 AM
 To: hardhats-members@lists.sourceforge.net
 Subject: Re: [Hardhats-members] Re: Need help
 programmatically signing a
 progress note
 
 
 George,
 
 You are right.  What I should have said is that list
 manager is launched with the name of a screenman
 routine/launch point/etc.  Thus a Screenman page is
 launched.
 
 Sorry.
 
 Kevin
 
 --- George Timson [EMAIL PROTECTED]
 wrote:
 
  To refer to the ^VALM* routines as ScreenMan
  creates confusion.  The LM 
  in VALM stands for List Manager.
  
  ScreenMan is an entirely different tool, part of
  FileMan, and FileMan-aware, 
  which List Manager is not, in any important way.
  
  --George Timson 
  
  
  
  
 

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Re: [Hardhats-members] House VA Committee is recommending a $400 million cut

2005-03-14 Thread chuck5566
So, not only is the VA's effort to replace their own, WORKING, 
home-grown software with COTS (Commercial, Off The Shelf, software), 
not working, it's going to cost them. . .

The VA is not in the software business.  (VHA IT's mantra a few years 
back.)



On Mar 14, 2005, at 10:23 AM, Nancy Anthracite wrote:
Committee calls for VA tech cut
The House Veterans Affairs Committee is recommending a $400
million cut in the VA's proposed IT budget for 2006.
http://www.fcw.com/article88249
--
Nancy Anthracite
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