I have spoken with many doctors who love Vista and there is no doubt that it is the most comprehensive medical EMR out there. But there is a tragic downside to Vista and that's MUMPS. Any product that is worth using has to be maintained by a pool of developers that have skills for it.
My main criticism is that this language isolates Vista from the rest of the IT community and that will prevent it from benefitting from strides being made in interoperatability. These strides depend on open source and open standards.
The medical industry won't harness the power of modern rapid code development and/or build on the work of other software tools/libraries because this language has very little support from the mainstream IT community.
Let me remind everyone that the reason for healthcare's interoperatability problems came from its embrace of exotic and sensational software platforms that deviated from the mainstream isolating it from a vast pool of man power and programming tools.
Vista's longevity depends on being easy to understand and update. Vista must first be ported to something that the rest of the software community can enhance and build upon. It should not be built on tools that isolate it from all of the many resources that are available to aid its development.
Most programmers and vendors will be unwilling to support or revive this language and I think that WorldVista and the VA is trying to force people to go backwards instead of bringing Vista forward.
Healthcare is like any other business and has all of the same needs of any other business. If the medical industry does not stop perpetuating the belief that medicine is a special case and start treating it like a business, then it will continue to move in the opposite and wrong direction from the rest of the world.
Proof of what I just said is http://www.emrupdate.com/forum/topic.asp?TOPIC_ID=1842 .
One more thing, there must be mutual respect between professionals in the medical and software industries in order to tackle the issues facing an outdated healthcare system in modern times.
|