Tom Munnecke's blog
I thought that this presented an interesting point of view
Here is a video of a conversation I had with Vice Adm (ret) Harold Koenig, MD, discussing what doctors need from health IT at the New Health Project workshop on RDF as a Universal Health Language June 25, 2013 in Encinitas, Ca. In his 34 year career with the Navy, Adm.
Open letter to Maureen Coyle responding to her question on how to decouple information architecture from the org chart
At the recent OSEHRA summit, Maureen Coyle who wears several hats in the VA's modernization effort, asked me how to decouple information architecture from the org chart. Here is my reply to her.
The basic theme is to shift our thinking to seeing things as a highly regular, large-scale, fined grained "information space" rather than a collection of enterprises, interfaces, and standards of exploding complexity.
Here are some thoughts about the trends Adm Harold Koenig and I see happening in DoD health care.
Doug Engelbart, shown here at his 80th birthday party in 2002, showing off the world's first mouse, has passed away.
When we were working on the first version of VistA (it didn't even have a name then, but I'll simplify things and call it VistA) in 1978, we had Digital Equipment PDP-11 computers to work with. Moore's law was well underway, and I knew that microcomputers would be coming more powerful, new models of computers would arrive, and that our software would have to run on a series of computers, not just the first one we used.
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:
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.