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Dear Arv;
There are many aspects to what you
ask. There is a learning curve and a commitment to the VistA application
which needs to happen if you are to host your own VistA system. VistA is
not a turn-key operation. It is an application which grows and adapts to
the changing needs of the practice. An ASP model can help make such a
commitment easier in that the physician/small practice does not have to shoulder
the burden of support (keeping the enhancement stream up to date). It will
depend on the relationship that the practice maintains with their VistA ASP
provider. If good communications (for the special needs of these
specific practices) is maintained, then the service can be very
effective.
If the support is taken on by the practice
outside of the ASP model, then accommodation is needed to an in-house support
staff, or a contracted outside support staff. The trade-off here is that
new functionality can frequently be added in a couple of days to a couple of
weeks rather than waiting for the next release of the code from a
vendor.
So from a support and price commitment, the
ASP moel has many advantages, especially if one is just coming up in the
technology. From a functionality and the ability to extend the practice,
self-hosting or contracted hosting is more attractive. As time goes on,
more folks will be offerring such services, but remember that support is usually
best if you know the support provider and keep a good relationship with
them. Communications is critical in all of these
operations.
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- [Hardhats-members] Hosting Vista for Physician Offices Arv Sepetys
- Re: [Hardhats-members] Hosting Vista for Physician O... Chris Richardson
