Friday, April 17, 2015
This Might Be A Good Explanation Of Why We Have Seen The PCEHR Not Go All That Well.
This appeared a few days ago:
April 10, 2015 | By Susan D. Hall
As the U.S. Department of Defense zeroes in on determining which bidding group will be awarded the coveted contract to modernize its electronic health record system, Loren Thompson, COO at the nonprofit Lexington Institute, says the effort is doomed to fail.
As evidence, he uses the words that Christopher A. Miller, the program executive overseeing the project, used in testimony before the Senate's defense appropriations subcommittee.
In prepared remarks, Miller said the Defense Department proposes to buy an "off-the-shelf" commercial product already in use by the healthcare profession and adapt it to military needs. This will be "state-of-the-market" commercial technology, Thompson writes.
The article echoes one he wrote for Forbes, in which he explained: "[I]t is seeking to acquire an electronic health record system that already exists in an industry noted for its antiquated approach to the movement of information."
And despite claims that the project will avoid vendor lock-in, the project manager told Politico he envisions the contract as "an extensive prenup and no divorce," Thompson writes.
The full article is found here:
The term "state-of-the-market" really caught my imagination. It is clear what we got with the PCEHR was the state-of-the-market circa 2010 or even a little earlier and that really explains why the whole thing is now very far from the "state-of-the-art" of 2015!
Worse it seems in the haste to implement there was no real planning on just how the state of the art in Health Information Exchange was going to be incorporated as this dynamic area progressed.
This is an issue any software purchase - think the planned new Centrelink systems - must really address.
Posted by Dr David More MB PhD FACHI at Friday, April 17, 2015