Tom Munnecke's blog

For those who think that only way to achieve order is through top down, centralized control, check out this demo of 32 metronomes synchronizing themselves:

http://www.youtube.com/watch?v=JWToUATLGzs

After many years working on both the VA VistA and DoD CHCS software architectures, I came to the conclusion that we were hitting a wall of complexity that could not be handled with the technologies that we were using.  In the mid 1990's, I started wandering around looking for alternatives.  I found two very interesting candidates.

After many years working on both the VA VistA and DoD CHCS software architectures, I came to the conclusion that we were hitting a wall of complexity that could not be handled with the technologies that we were using.  In the mid 1990's, I started wandering around looking for alternatives.  I found two very interesting candidates.

Here are some of my thoughts and historical perspective on Bob Brewin's Military Health System and TRICARE Lose Control over IT Budget.

I include some historical perspective on the issue, dating back 29 years to Rep. Sonny Montgomery warning Sec Def Caspar Weinberger about pretty much the same thing that is happening now.

Hopefully, we'll see a new approach to the problem... which I will be proposing soon.

From Chuck Hagel's testimony yesterday:

"I didn't think we knew what the hell we were doing," Hagel said. "We've got teams over at VA and we're doing a lot of good things, but we haven't completed an integrated health record system, which is what we committed to."

http://www.fierceemr.com/story/hagel-iehr-i-didnt-think-we-knew-what-hel...

This morning's Wall Street Journal article about Personal Genomic Testing has some interesting arguments.