I've written about plans to scrap the Veterans Affairs Department's VistA electronic health-record system and replace I've written before about plans to scrap the Veterans Affairs Department's VistA electronic health-record system and replace it with a whole new EHR system built from scratch, jointly, with the military, but it bears repeating—that idea, building a whole new EHR system, was worse than nutty.
Taxpayers have invested billions of dollars in VistA. The development effort, started in 1977, produced one of the best EHRs ever, maybe the best.
I was personally introduced to VistA in 2003 by Dr. Louis Coulson, who graciously gave me a demonstration at the Jesse Brown VA Medical Center in Chicago.
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I spoke with Dr. David Brailer last week and have been mulling over something he said ever since.
“The fight over the control of data will be an epic struggle,” he said. “I think it's going to be the reining battle of this decade.”
Brailer rephrased his statement to “a very large struggle” so as not to imply the fight will be between Judy Faulkner’s Epic Systems and everyone else, although the EHR wars are shaping up that way.
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