This has been my experience as well.  I usually ask if the person that is so 
negative has ever seen VistA in action and invariably they haven't. 

I figure if all goes well, there will be more work than the vendors early in 
the market place can handle when VOE is released.  With 85,000 people trained 
to use VistA a year by the VA, once the legitimate problems for using VistA 
outside of the VA licked, there will be a well informed body of potential 
users who may choose to adopt it.  I just wish there were more VistA trained 
volunteers to help do the work that needs doing so it will get done sooner 
than later.  

The problems that they were complaining about have been solved, but they have 
not been solved with open source free or low cost tools, which is what I 
think many of us are looking forward to/waiting to have available. I am very 
encouraged by the vendors who have decided to contribute their expertise and 
code to the cause and I hope more decide to do the same in the future.  That 
helps a great deal.  Hopefully the work of getting VOE CCHIT compliant will 
solve some if not all of the problems, and other potential solutions will 
develop into full blown solutions.  

On Tuesday 02 May 2006 12:56, Mike Schrom wrote:
Anecdotal experience:

I just returned from a practice management course sponsored by the
American Academy of Otolaryngology given by a pretty well known
consultant, George Conomikes. When the topic of EHR came up, his comment
was "Don't do anything you don't have to."

There followed a gripe session filled with complaints from each EHR
adopting MD about what their EHR doesn't do. I proceeded to extol the
virtues of VistA and was shouted down with old misinformation: "If it's
so good why is it late"; "It's not free, CMS is going to license it to
you for $4000/provider"; "It will cost $100,000 to implement"; "It can't
interface with any practice management systems"; "It can't do:"
"Billing", "Scheduling", "Lab interfacing", etc., etc.

I tried to issue a rebuttal, however there seems to be a lot of
resistance out there. On the other hand, a couple of people did ask me
for more information, to which I responded with the Worldvista and
Hardhats web sites (I gave one person a SemiViva disk. If I knew, I
could have brought a few ViVita disks) In short, in addition to
improving the system and it's useability, I think we and the VOE vendors
have a significant marketing task ahead.

Mike Schrom


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