Health of the Source
summary
Open-source VistA acts like the working EHR template: it ships to every VA hospital, implements all 50 evidence-based functions the studies flag as rare, and supports cross-module features (psychiatry→pharmacy→automatic labs) that actually reduce errors. Commercial rollouts (Kaiser costs ~$1B) succeed only with massive budgets; several VistA adopters hit stage 6 at roughly one-third the cost. EHR uptake is low—meaningful use ≈10%—so projects like MUMPS/OpenVistA, OpenMRS, Mirth, Tolven and InoX focus on evolvability; proprietary modules block that evolution.
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chapters (42)
- 0:00Introduction
- 1:00Tweet
- 1:50Ethics
- 4:15Hippocratic Oath
- 4:40Art and Science
- 5:30Science
- 5:45Ethical Responsibility
- 6:10EvidenceBased Medicine
- 6:30Bloodletting
- 7:15Washing Hands
- 7:40Checklists
- 8:15Nonuse of EHRs
- 8:35Not necessarily a good idea
- 8:55Meaningful use
- 10:25EHRs dont work
- 11:10Husband and wife errors
- 12:05The Mayo Clinic
- 12:40Kaiser Permanente
- 14:00Vista
- 16:30Vista history
- 16:55Collaboration
- 17:10More modules
- 17:25New module
- 18:00Big bang
- 18:40Underground Railroad
- 19:55Government Approval
- 20:10Open Source
- 21:35System Go
- 22:55Evolution
- 24:05History
- 26:25Speed
- 27:50Birth Control
- 30:00Sexy
- 31:40DevoX
- 32:15Spice
- 33:45Modern software deployment
- 34:35Care
- 35:40Social Change
- 39:40God and Jesus
- 42:30Billers
- 46:50No Sequel
- 52:30Changes in Vista
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