What have these physicians been doing over the past decade? Ignoring information technology, I guess, and doing a lousy job? I doubt it. We know that the required work flow from an orthopedist and a psych doc are very different, and at that general level I believe the developers have addressed theses differences well. So it must be that from one orthopedist to the next orthopedist, or one psych physician to the next, there is even more variation.
In keeping with Berkowitz' suggestion, it seems to me that what we need is a virtual custom system with components like powerful user-defined presentation tools, powerful workflow-management tools and extremely flexible output toolsall these tools available at the user level to make it just right for me.
But of course there is a cost for all this high-power flexibility. Such as:
- Giving users high-power tools costs more (usually they may get a stripped-down, run-time-only version, think Crystal Reports).
- Users need to be trained on these toolsthe more powerful, the more time. Training on power tools can go well beyond the hours budgeted for the core application. Think orders of magnitude.
- Installation and setup will require at least twice the time because now we have to document the current processes, make adjustments, then use the power tools to initialize the system according to our best practices. Note the operative word our. On the other hand if we were willing to accept industry best practices as the core workflow, after the first install we could just load and run.
Oh, but I forgot what we really need is a low-cost custom system.
PresidentKelzon GroupBarrington, Ill.
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