Yada, yada, it makes me very tired...
The Veterans Administration has the most highly integrated electronic medical record system in the world called VistA. It was written quite informally (at the beginning), and became a success because developers, many with clincal backgrounds, were free to kibbutz and coordinate their work with each other without undue bureaucratic burden. As VistA grew, with size came the unavoidablly higher levels of bureaucracy.
Several years ago, there was a complete boondoggle with some vendor software installed in a VA system in the St Petersburg, Florida area. Would this bill have helped then?
I just don't know. Every success I've seen in my developer life has involved a small number of people with a large amount of power and a high level of expertise. But, since I'm an Indian-level (cowboys and indians everyone from outside the States) developer, and carefully avoid management involvement, my perspective is suspect.
Help us all!
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