Tim Churches wrote:
>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
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>
>
With a name like Churches!!!
(Sorry I could not resist :-) !
Best wishes Tim,
Michael Christie
>
>
>
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