Hey all,

I just had an interesting discussion with Joseph Conn
who is writing an article about VistA for Modern
Physician Magazine.  Someone gave him my name as a
physician trying to implement the system in a private
office.

The gist of what I think he was going to write about
is that the President has discussed the importance of
getting EMR's into offices, and there has been
interest in leveraging VistA in this regard... but the
VA is in a position of conflict because they are not
mandated to help get the technology out, and in fact
are not supposed to be in competition to commercial
EMR's.  So the transfer of software and knowledge
there is going to be slow.  Certainly the CMS VistA
Office initiative may address these issues, but it
seems unclear if the purpose of this is to benefit the
small primary care physician, or whether it is more
for VA benefit.  (And I, for one, never count on
software in development until its complete.)

I tried to outline the WorldVistA vision of getting
VistA into public use, and the support systems that
are being gathered.  But to answer his questions, the
VistA system is clear still not ready for mainstream
use in private offices.

We'll see how it turns out...

Kevin T.


                
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