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Re: VistA - The First Amputation
by Ignacio H. Valdes, MD, MS on Wednesday November 07, 2007 @ 11:38 AM
Anonymous sources say that this isn't the first time that the VA has tried to 'modernize' with 'commercial' aka 'proprietary' software. Previous efforts have been either abandoned or eternally 'still in progress' when it was found that the existing VistA system substantially outperformed fill-in-the-blank 'commercial' (proprietary) health IT software either in functionality or financially or both. However, after these contracts get signed, the proprietary vendor gets paid whether it is actually implemented or not. Interesting world we live in. -- IV
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    Re: VistA - The First Amputation
    by Tim Cook on Thursday November 08, 2007 @ 10:27 AM
    Well, I won't be anonymous but I will be vague in that I cannot remember the presentations per se. However, at the 2002 OSHCA Conference there were US Dept. of Defense / VistA Reps. that talked about a move to proprietary systems then. We eventually learned that those approaches failed when put up against VistA they just did not stack up.

    Sorry you'll have to do your own URL searches. I simply do not have the time at this point but you can trust me that they exist.

    I believe that VistA has a great future in the US and "maybe" in secondary care elsewhere? I believe that the openEHR (http://www.openehr.org) specifications are more the ultimate in defining healthcare (esp. primary care) on a worldwide basis.


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