--- Nancy Anthracite <[EMAIL PROTECTED]> wrote:

> BUT how much do you bet that there will be multiple pay for
> performance 
> standards so that it will cost docs buckets of money for doing local 
> modifications to include the code necessary to support these
> initiatives? 

That's a tough one. If I had my way, local modifications would become a
thing of the past, and interfaces and extensions would work solely
through supported APIs or frameworks like HL7, CORBA or SOAP. But that
kind of begs the question of what is being certified. If you develop an
HL7 interface with another system, does your product become
"un-certified". I would not think so, but neither would your product's
certification magically extend to other systems it touches. But then
you need to ask the question of what effect such an interface could
have on the product. It's not entirely unreasonable to say that full
regression testing will be needed again. After all, if you update your
database based on input from another system and that system is an
unknown, well, what then. Then again, forget about interfaces with
devices: you have users, and what they might type at a keyboard is
unknown, too. It's not a simple question!


> 
> As it is, even just within HHS initiatives there is both DOQIT and at
> least 
> one other set of quality measures and they are just getting into
> this.  
> 
> Rhetorical question:  Will it get worse or better?  

Rhetorical response: Isn't that kind of like asking whether the web
will get bigger or smaller? Or whether entropy decreases over time?

===
Gregory Woodhouse  <[EMAIL PROTECTED]>

The Tao of VistA: If all you see is MUMPS, 
you see nothing.


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