Hi David,
Please go to www.cchit.org (if you haven't) and see how the yanks are doing it..planned, reasonable and not too expensive for most except the open-source people - for whom I think there should be a fee exemption.
Their style of effort would do much, if transferred here, to make things better - not perfect..but a place to start building I reckon.
Cheers
David
---- Dr David G More MB, PhD, FACHI Phone +61-2-9438-2851 Fax +61-2-9906-7038 Skype Username : davidgmore E-mail: [EMAIL PROTECTED] Health IT Blog - www.aushealthit.blogspot.com On Sat, 08 Jul 2006 14:59:10 +1000, David Guest wrote:
> Ian Cheong wrote:
>> At 9:42 pm +1000 6/7/06, David Guest wrote:
>>> Content-Type: multipart/signed;
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>>> micalg=sha1; boundary="------------ms080507030901030406090108"
>>>
>>> Tim Churches wrote:
>>>> On teh international openhealth mailing list some months ago, there was a discussion on this with respect open source health software and a proposed US
>>>> accreditation mechanism - see
>>>> http://www.mail-archive.com/[email protected]/msg00656.html - if you scroll down you'll see the entire thread of messages.
>>>>
>>>> The points I made were that:
>>>> a) accredittaion tests should be automated, not done by humans tapping a keyboard and clicking a mouse each and every time a test needs to be repeated
>>>> (for a new version of the software etc) ; b) there should be no monopoly on who creates the test scripts; c) the testing authority merely verifies the
>>>> correctness of the test scripts and runs them to perform the test - or, much better, it trusts a signed statement from accredited independent testing
>>>> agencies (so that there is a competitive market for their services and no govt-created monopoly).
>>>>
>>>> The main point is that application developers should be able to do the leg work of creating test scripts to demonstrate compliance of their products
>>>> themselves, since this is were a lot of the costs lie. Of course, the first step is to create a comprehensive set of test specs, and to publish these.
>>>>
>>> You've been hanging around Extreme Programmers too long, Tim. :-) It sounds fantastic to me though. How would it work in practice.
>>>
>>> I must admit that I was thinking testing and certifying would be aimed more at the differing components such as the GUI, middleware and backend.
>>>
>>>
>> Don't forget the GPCG and previously the RACGP had been chasing software accreditation along with industry round and round over many years.
>>
>> It is a non-trivial exercise.
>>
>> The best specs ever written down were the IBM GPCS functional specifications..... nobody wanted to be accredited on that.
>>
>> ISO/IEC 15504 SPICE accreditation was explored by local software experts under Software Engineering Australia (Qld) and deemed too expensive in the GP
>> setting.... project report should on the GPCG web site....no further steps were taken.
>>
>> Certification of standards compliance could be possible, but we still don't have all the standards functional.....still work in progress at NeHTA.
>>
>> Not sure that there are robust accepted methods for accrediting usability, since modern software (and many other human artefacts, especially technological)
>> suffer from usability problems.
>>
> Not sure I follow that. Isn't that what regression testing is all about?
>
> I was kind of hoping that modern EHR software would do things like not dissolve on the screen, would not lose data, hopefully would not crash (too often),
> allow for generic data extraction and importing and have an API that other applications could address.
>
>
>> It makes sense to me that there should be demonstrable usability, safety, quality, etc around software. But the pathway to getting there is not well made.
>>
>> Accreditaiton of functionality in support of practice standards had a run at one stage and seems likely to have legs in the long term... since we see the
>> beginnings of it already in PIP requirements and broadband security standards.
>>
> Yes. You may have to define what you want first and then build it from scratch. If it's all too hard is Enrico just whistling in the wind?
>
> David
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