I'd like to be involved with a local Houston RHIO, but for whatever reason, I don't know them and they do not know me. The biggest reason for me is time, time, time and a history of local agitation over many years that went nowhere. The sayings 'you can't be a prophet in your home town' and an expert is someone from out of town, so far is true. As well, now is as good a time and place as ever to disclose my recent involvement with Sequence Managers Software: http://www.linuxmednews.com/disclosure

-- IV

In fact, it's inflated claims and promises that reduce chances for health IT success, through clinician disillusionment. These claims of cybernetic medical miracles have been made for decades (perhaps since the days of vaccuum-tube-based, mercury delay column-memory computers)...

In fact, I sat on the technology committee of the Delaware RHIO (Delaware Health Information Network) of the state health care commission for several years and contributed substantially to the initial planning phases. However, leadership elected to higher positions of authority the very people in charge of clinical computing at the hospital where I was Director of Informatics. If other RHIO's import such people, then they are destined to have the same (or lower) success rates as hospital-based clinical computing.

My thoughts on these issues are at http://home.aol.com/medinformaticsmd/failurecases.htm and have resided there for about seven years now.

Regards,

Scot