It may be difficult to recall now, what with the ongoing Cerner deployment and recent challenges that had little to do with technology, but there was a time when the Department of Veterans Affairs was considered the gold standard for healthcare IT.
VA was out front with the initial development in the 1970s of the VistA system, which would come to be widely recognized and frequently honored. Indeed, when VA was overhauled in the 1990s, VistA was the primary tool that enabled the success of new policies.
A well-worn axiom says that “hope is not a plan.” Indeed, hope alone is such a hands-up abdication of planning that editor Thomas Mowle was inspired to use the phrase as the title of his 2007 book of essays on the war in Iraq, which says something.
Still, if we play with syntax and add a few words, we can say that every successful plan should offer a measure of hope—hope for success, an improved reality, greater opportunity.
Of course, the goal promoted before, during and since President Trump’s legislation signing ceremony in the White House last Wednesday is to reduce opioid addiction and attendant deaths.
“Together, we are going to end the scourge of drug addiction in America,” said the president, before hedging his bet by adding, "We are going to end it or we are going to at least make an extremely big dent in this terrible, terrible problem."
Physicians are people, too, as it turns out.
Well of course they are, you say, perhaps while acknowledging that we may have expected doctors to perform superhuman feats since television feeds us a steady diet of doctors as boy geniuses, adult geniuses, other types of geniuses and personally troubled but ethically unassailable walking Greek tragedies.
In business, disruption is often seen as a good thing, e.g., digital photography disrupting Eastman Kodak’s business so significantly that the company has scrambled in recent years just to stay afloat, the thing they once did better than anyone now largely irrelevant.
In 2018, the phrase 'learning curve' is used so frequently that it’s essentially part of the English lexicon with little need for definitions and etymologies.
In the late nineteenth century, however, both phrase and concept were yet to be invented. German psychologist Hermann Ebbinghaus described what we know as the learning curve in the late 1800s and the term itself was first used in a 1903 issue of the American Journal of Psychology.
Earlier this year, the ONC released the Trusted Exchange Framework and Common Agreement (TEFCA), which responds to a mandate included in 2016’s 21st Century Cures Act and lays out principles, terms and conditions on which to base an interoperability framework that healthcare organizations can embrace.
"A human being should be able to change a diaper, plan an invasion, butcher a hog, conn a ship, design a building, write a sonnet, balance accounts, build a wall, set a bone, comfort the dying, take orders, give orders, cooperate, act alone, solve equations, analyze a new problem, pitch manure, program a computer, cook a tasty meal, fight efficiently, die gallantly. Specialization is for insects."
- Robert A. Heinlein