Virgil Bierschwale wrote:
> My point exactly..
> 
> We have driven ourselves to a point where we are only focused on the details
> and not the larger picture.
> Somehow, somewhere we need to come back to sanity and realize that for every
> action, there is an equal and opposite reaction
> 
> This applies to all areas of life, but in the software business, I have seen
> systems coming to a crash because they relied on an employee maintaining an
> excel spreadsheet in a certain folder and when the employee was laid off, it
> will take a week or two, or even a month or two and bandaides such as this
> will break a system.
> 
> Somebody, somewhere needs to be the mentor with their finger on the pulse of
> the operation and this person needs to realize all of the ramifications of
> what everybody that is working for them is doing, and especially in a
> software environment where it is very easy to accidentally include outdated,
> or deliberately changed code. 

Hi Virgil,

I am indebted to the guys on this list for helping me to see the 
problem. Without their insights I would still be spinning my wheels. I 
think the light bulb revelation came from Stephen Russell, who observed 
that the data model I was trying to use was inconsistent.

And it still is! Currently EMR is trying to get a profession wide 
interchange of data but each specialty has its own model and each 
individual doc keeps different types of data. Thus, each office has to 
have its own customized solution, try sharing data with that!

And the lawyers tell the docs not to keep any records unless they 
absolutely have to. Oh, the government could impose something, but . . .

>> Bottom line, if you're a software developer and you cannot draw a 
>> block diagram of your companies business process flow from memory, you 
>> do not understand your business and you have some bridges to mend.

> It is a shame to say it, but I fear there are some doctors who can't draw a
> block diagram of the patient experience in their offices. Writing software
> for this situation is a can of worms.
-- 
Regards,

Pete
http://pete-theisen.com/
http://elect-pete-theisen.com/

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