Are you speaking from experience as a VISTA user, or just speaking?
----- Original Message ----- 
From: "Andrew Ho" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, December 19, 2003 8:46 PM
Subject: Conflict of interest, was Re: Vista on the BBC News Web-site


> On Fri, 19 Dec 2003, Heitzso wrote:
>
> > As I understand it, VistA is actually in use now around the world.  I
> > believe it takes awhile to setup (week?)
>
> Heitzso,
>
> Ease-of-installation and Ease-of-change are desirable features from the
> end-user point-of-view. However, those who derive revenue from software
> installation and maintenance service may have good reasons to
> work less on Ease-of-installation and Ease-of-change features.
>
> > and is more oriented to the Hospital setting than a very small practice.
>
> This observation nicely reveals the "rigidity" of VistA. If VistA cannot
> easily accomodate both hospital and small practice workflows and records
> requirements, how could it possibility support diverse needs around the
> world ?
>
> ...
> > needs to be answered by spec'ing the task at hand and the resources
> > available to setup and manage the software.
>
> In other words, spend $20,000 for a study to predict whether VistA will
> fit the task? :-)
>
> > If the need is to manage a Hospital or a large health center then VistA
> > may make perfect sense.
>
> What happens when the needs of the "large health center" change next
> year? How much would it cost to hire MUMPS experts to change VistA to
> support the new requirements?
>
> Don't get me wrong here - MUMPS experts deserve to get paid for their
> hard work. It's just that VistA install and MUMPS may have to remain
> user-unfriendly for a bit longer.
>
> Best regards,
>
> Andrew
> ---
> Andrew P. Ho, M.D.
> OIO: Open Infrastructure for Outcomes
> www.TxOutcome.Org
>

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