Jul 25 2013
Here’s an interesting link to a GAO report analysing VA’S DHCP (now called VistA), DoD’s CHCS system, and Indian Health Services’ RPMS systems.
Seems that barriers to sharing were organizational issues, not technical.
Not much has changed in the intervening 20 years, except that the systems have become 100x to 1000x more expensive (i.e. profitable to systems integrators who revel in the complexity of having lots of incompatible pieces).
It’s like we are living in a time warp, doing the same thing, time after time, ignoring what has succeeded, and replicating what has failed. And it just keeps getting more complicated.
Someone should ask, “What’s the simplest thing we can do?” rather than continually shoot for gold-plated perfection.
Tip of the Hat to Sam Habiel and Jim Garvie for digging this out…
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