It is my perspective that even if the release is held up, there is a major
amount of work that needs to be done so that all of those who will support
the acquiring enterprise are fully linked to the disciplines (such as
health record administrators-AHIMA) who fully understand the present
information domain and can help plan the transition. Nanacy noted that it
wouldnt be a trivial process and Kevin is saying that lets work hard in
the meantime to understand how the range of healthcare enterprises will ne
to plan and excute the transformation that adopting VistA will bring.
Moreover, everyone will have to understand how the VistA architecture will
evolve (both within Va and IHS) and how it may use COTS components (which
IHS has utilized much more than VA/DoD). Yes, I am impatient too but first
to get the re-oriented/updated documentation in ordeerr to work on these
issues. Others have expressed similar interests.
Arden
On Sun, 11 Sep 2005, Kevin Toppenberg wrote:
My AMA newsletter shows the ongoing shaping of how the new outpatient
"pay for performance" policy of CMS will work. And I believe that
one of the driving forces behind VO will be the need for CMS to be
able to say "we expect performance data for full payment, and here is
software that you can use to report it." Otherwise you would have a
policy with no way for practitioners to comply.
Since the new payment model hasn't been finalized, there may not be a
rush to release the software. After all, VistA has been here for
years, and nothing has really changed. So what's the rush for
release?
Another factor may well be that management knows that there is a
significant amount of money from private EMR companies that could be
used bring critisism for VO. So they may need to hit a home run the
first time around.
So while I also am eagerly anticipating VO release, I think we should
all stop holding our breaths and proceed with our lives.
Kevin
On 9/11/05, Nancy Anthracite <[EMAIL PROTECTED]> wrote:
David J. Brailer, M.D., Ph.D.
National Coordinator for Health Information Technology
Mike Leavitt
Secretary of Health and Human Services
U.S. Department of Health and Human Services
Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Mark McClellan, MD PhD
Administrator, Centers for Medicare and Medicaid Services
7500 Security Boulevard
Baltimore MD 21244-1850
On Sunday 11 September 2005 01:42 pm, Orion Richardson wrote:
This is horrible news!
I'm one of the many people anxiously awaiting the
release of VistA-Office EHR and it getting blocked by
some "review" process sounds incredibly fishy. Is
this an attempt by the government to scuttle the plan?
If so, is there someone we can write to, advocate
towards, etc.?
I mean look at all the excitement around this project
- even if we just got the current version out there in
the open (on sourceforge, for example) I think people
would start moving the code base forward on their own.
Even MUMPS newbies like myself, with the great help
of the hardhats on this list, could chip in.
Does anybody else know more about this review process
and what stage it's in?
Best,
Orion
--- John Leo Zimmer <[EMAIL PROTECTED]> wrote:
http://www.governmenthealthit.com/article90704-09-09-05-Web
> Dr. Karen Bell, division director of the Quality
> Improvement Group at HHS'
> Centers for Medicare and Medicaid Services, told a
> conference audience that
> VistA-Office "is undergoing a review right now by
> the secretary's office.…
> You can't download anything" now.
>
>
>
> "Colorless green ideas sleep furiously."
> -- N Chomsky
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