kuang oon wrote: > Hi TimC & Ian & David, > > On 18/06/2007, at 8:07 AM, Tim Churches wrote: > >> >> Ian Cheong wrote: >>> At 2:23 pm +1000 17/6/07, David More wrote: >>>> <http://www.computerworlduk.com/management/government-law/public-sector/news/index.cfm?newsid=3529>http://www.computerworlduk.com/management/government-law/public-sector/news/index.cfm?newsid=3529 >>>> >>>> >>>> NHS IT chief Granger quits >>>> Head of £12.4bn programme will go before roll-out of crucial care >>>> record system >>>> >>>> ================================================= >>>> The lessons to be learnt from this are legion and need to be carefully >>>> learned. >>>> Cheers >>>> David >>>> ---- >>> >>> ...but the lessons were known prior to the project/programme starting. >>> Probability of failure being proportional to project size. > > Not entirely true. It is all about good design. The aids memorial quilt > http://www.aidsquilt.org/makeapanel.htm is one of the largest community > project and its design has a lesson or two for us trying to build an > interoperable health architecture. The "pluggable component" is a > panel 3 ft x 6 ft. A "block" (or section) of The AIDS Memorial Quilt > which measures approximately twelve feet square(144 sq ft), and a > typical block consists of eight individual panels each three foot by six > foot panels(8x6x3=144 sq ft) sewn together. Add a few simple rules > about applique, paint, collage and photos. I wonder if the architect of > the quilt is a biologist with a good grounding in multi-cellular > organisms? Back to e-health, I am not sure(.... or too reticent to > say) what that "pluggable component" is in this domain, but human > readable context complete clinical codes sure solve a lot of problems.
Well, at the software and interoperability level, the whole CORBAmed/HDTF initiative in the 1990s was, to my mind, a very well-thought-through stab at that - perhaps too good, because none of the health IT vendors adopted it, perhaps because it worked too well and would have destroyed their business models (which are all about delivering custom-ordered but pre-fabricated doonas, not about sewing a community quilt). >> I suspect that Grainger is going because Blair is stepping down this >> month, and without Blair's backing of the massive expenditure needed to >> support Grainger's maximal cost strategy, it is all going to go even >> more pear-shaped than it is now. ...>> >> Tim C >> > As usual, you three are helping us evolve into deeper insight. Thanks. No, no, I don't buy the Intelligent Design argument at all - I'm a Richard Dawkins fan. Tim C _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
