Showing posts with label connecting for health. Show all posts
Showing posts with label connecting for health. Show all posts

09 January 2009

A Different VistA for the NHS?

I've written quite a lot about Microsoft's ill-fated Vista in Open Enterprise, but nothing so far about another VistA:

Electronic Health Record systems (EHR) are essential to improving health quality and managing health care delivery, whether in a large health system, hospital, or primary care clinic. The U.S. Department of Veterans Affairs (VA) has developed and continues to maintain a robust EHR known as VistA - the Veterans Health Information Systems and Technology Architecture. This system was designed and developed to support a high-quality medical care environment for the military veterans in the United States. The VistA system is in production today at hundreds of VA medical centers and outpatient clinics across the country....

On Open Enterprise blog.

17 December 2008

Making the Connection

When the following press release arrived, my heart beat a little faster....

On Open Enterprise blog.

29 October 2008

Que la Bête Meure

The National Health Service's £12.7 billion computer system is in doubt after its managers acknowledged that there will be further delays.

Connecting for Health, the NHS agency responsible for the world's biggest civil IT project, said it didn't have a clue when hospitals in England will start using the software that is required to keep track of patients' medical files.

Come on, put the beast out of its misery.

18 June 2007

Requiem for a Failed Methodology

News that Granger is abandoning the sinking ship that is NHS Connecting for Health is hardly a surprise. The £12 billion project was doomed before it started, because it tried to apply an unworkable, 20th-century, closed-source software methodology - one that not only does not scale, but that actually gets worse the bigger the project (hello, Fred Brooks).

The only way to address these kind of mammoth undertakings is by using a lightly-coupled, decentralised approach. And that means open standards at a minimum, and ideally full-bore open source. The equation is simple: the more openness, the greater the scope for componentisation, the greater the flexibility - and the greater the chance the damn thing will actually work.

Sadly, NHS Connecting for Health will go down in history as the perfect demonstration of this fact. - Sadly, because I shall be paying for some of it.