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A can of worms
In the early 80s I developed a purchase order
management system for a chain of department stores.
The basic design was actually fairly simple. But that
was based on everything working perfectly, which
seldom happens in retailing

The difficulty was in identifying what didn't go as
planned and developing the means of addressing those
issues. It's a real can of worms.

HIT is fairly similar when it comes to addressing issues
that are not "within normal environments". All you
have to do is consider the rapid development of
medical knowledge to understand the challenge of
keeping systems up with that.

Proprietary systems will, I believe, get "something" up
and running and will then slowly fall behind in terms of
updating new technologies and maintaining the old
system.

There is, I believe, a need to ensure that any system
developed is "universal" in terms of OS environments. I
use an Apple and should have no problem using the
system.

May sound stupid, but look at the challenges in the
Windows world where MS wants people off of XP while
trying to get a replacement of Vista out the door. We
certainly don't need to have HIT tied to MS to the point
where other systems are disadvantaged.
Posted by: Ken_z   Posted on: 02/19/09 You are currently: a Guest | Members login | Terms of Use

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A can of worms  Ken_z | 02/19/09
Simple Standards  DanaBlankenhorn ZDNet Moderator | 02/19/09
RE: Will health IT be Obama version of the Iraq War  scotsilv | 02/19/09
I came away very impressed by your work  DanaBlankenhorn ZDNet Moderator | 02/19/09
1987 Comdex! Try "The OS/360";)  mejohnsn | 02/20/09
prove me wrong?  Dunkirk | 02/20/09
The problems of the VA  DanaBlankenhorn ZDNet Moderator | 02/21/09
WASTE OF MONEY WASTE OF MONEY SOCIALISM WASTE  Christian_<>< | 02/19/09
Silverstein's objection has nothing to do with that.  DanaBlankenhorn ZDNet Moderator | 02/19/09
Sure!  mejohnsn | 02/20/09
VistA  scotsilv | 02/21/09
Thanks for participating, Scot  DanaBlankenhorn ZDNet Moderator | 02/21/09
Commercial vs. OSS  scotsilv | 02/21/09
RE: Will health IT be Obama version of the Iraq War  tacoss | 02/19/09
We need to listen more to RNs, too...  DanaBlankenhorn ZDNet Moderator | 02/19/09
HIT leaders clinical?  scotsilv | 02/19/09
Doctors are valuable  DanaBlankenhorn ZDNet Moderator | 02/20/09
Mystery industry does HIT better  scotsilv | 02/20/09
It's better if you tell us  DanaBlankenhorn ZDNet Moderator | 02/21/09
Director of nothing  scotsilv | 02/21/09
Yes, but...  mejohnsn | 02/20/09
systems analysts with healthcare informatics education  scotsilv | 02/21/09
Transparency  DanaBlankenhorn ZDNet Moderator | 02/21/09
The naivete is amazing  frgough | 02/19/09
Buying ideology is naive  DanaBlankenhorn ZDNet Moderator | 02/20/09
It Ain't Necessarily So  jsidorov | 02/20/09
Costs  scotsilv | 02/20/09
Or they went to Stanford  DanaBlankenhorn ZDNet Moderator | 02/20/09
Well done EHR  scotsilv | 02/20/09
Do we have enough such people?  DanaBlankenhorn ZDNet Moderator | 02/21/09
Problem is cavalier time pressure  scotsilv | 02/21/09
Well done *IS* possible  mggordon | 02/20/09
Well, they don't do it anymore  mejohnsn | 02/20/09
A great point there...  DanaBlankenhorn ZDNet Moderator | 02/21/09
RE: Will health IT be Obama version of the Iraq War  mc7e | 02/20/09
Whatever...  sandshark75 | 02/20/09
Both of you have valid points  DanaBlankenhorn ZDNet Moderator | 02/20/09
RE: Will health IT be Obama version of the Iraq War  zarman | 02/20/09
No doubt  DanaBlankenhorn ZDNet Moderator | 02/21/09
RE: Will health IT be Obama version of the Iraq War  mc7e | 02/20/09
The Canadian reality and the American one  DanaBlankenhorn ZDNet Moderator | 02/21/09
I have worked on a medical records software project.  kathleen_Gresham@... | 02/20/09
Straw man  scotsilv | 02/21/09
Thanks Kathleen  DanaBlankenhorn ZDNet Moderator | 02/21/09
beta site experiments  noah.zark | 02/21/09
RE: Will health IT be Obama version of the Iraq War  hgeorgescu@... | 02/20/09
Do doctors drive submarines?  scotsilv | 02/21/09
I disagree  DanaBlankenhorn ZDNet Moderator | 02/21/09
RE: Will health IT be Obama version of the Iraq War  COBA | 02/20/09
Questions like these...  mejohnsn | 02/20/09
Doing both  scotsilv | 02/21/09
It's both  DanaBlankenhorn ZDNet Moderator | 02/21/09
RE: Will health IT be Obama version of the Iraq War  noah.zark | 02/21/09
RE: Will health IT be Obama version of the Iraq War  ronpilot@... | 02/22/09

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