On Mar 25, 2006, at 8:38 PM, Thurman Pedigo wrote:
To err is human. To really screw up requires a computer.
Yes, I've even heard a few attributions for it. Unfortunately, it
repeated so often simply because it is, well, true.
I presume every one on this list has heard this trite little
phrase. Sadly,
medicines widespread variation allows almost anything to be an
improvement.
Not that I think we should lower standards as we sorely need all
the help we
can get.
It certainly sounds to me like you are setting a low standard. Maybe
you need to learn to crawl before you can walk, but my fear is that
we will all be satisfied with never learning to walk.
Most telling is the history of Medicare's annual mortality reports
in the 80's. AMA and AHA were successful in killing the reports
because they
were "flawed." Admittedly they needed improvement - which was in
the plan.
However, their flaws were less than a good many new surgical
procedures and
drugs coming on the market.
Certainly, VistA is an advance.
It may well be, but can you state clearly why? I suspect the
naysayers you refer to are skeptical precisely because no one seems
interested in making independently verifiable claims about just how
VistA does represent an advance.
Hopefully, the naysayer critics won't kill
its advantages. Computer error checks and reminders create a lot of
quality
improvement.
Okay, now this is precisely the kind of thing I had in mind. Besides
reminders, what does VistA give you? What benefits does it provide
that cannot be found in other EHR products? Why? These are the sorts
of questions that need to be answered if you wish to make a
convincing case for the use of VistA.
Thanks,
thurman
===
Gregory Woodhouse
[EMAIL PROTECTED]
"You must unlearn what you have learned."
--Yoda
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