Dave Bowen: Well, I think from my lessons learned standpoint we could probably spend the entire hour talking about that. I’ll probably add to some of the comments of Dr. Collin made. You know, one of the thing that fascinates me as we implement these technologies is sort of the human factor impact. And what I've come to realize particularly now that we've been in DOD that many times a health IT initiative ends up being a fairly disruptive influence and it disrupts the way people work, it disrupts relationships that had been built up over time, cultural factors that have been in place for a long time.
And so as Dr. Collin said requirements are really important, but I think the other lessons that we want to be sensitive to is how does the implementation of this technology change the way people work and what kind of disruptions could those changes cause and how do we deal with those disruptions, how do you train physicians. I mean we’re just in a meeting yesterday about Telehealth and Teleradiology -- Telehealth is a scenario where the VA is really probably one of the national or international leaders. We’re trying to adopt some of their methodologies but you know your asking physicians to change the way they work and, you know, sometimes you get resistance and how do you promote that. So, these are all factors that are not technology directly.
I was at a conference -- spoke at a conference last week and told people that my job is more about anthropology than technology, because it’s really change management and changing some of these work practices and things like that. So lesson learned certainly is to pay attention to some of the procedural and cultural factors that may be impacted as you roll out this new technology.
JIm Flyzik: Yeah, excellent, excellent point. I know every time I go to my doctor he brings in the little computer there and he complains about I cannot figure this, this thing drive me crazy kind of thing. But over time he realizes that this is going to make a big, big difference.
Dave Bowen: But as a patient though you want that eye contact. I read a very interesting article about that, you don’t want your doctor heads down over his laptop while he’s talking to you and looking at his laptop. You want him to be talking to you and looking at you.
JIm Flyzik: Absolutely.
Dave Bowen: So that’s a cultural change, how do you deal with that?
JIm Flyzik: Yeah.
00:02:37 END OF AUDIO
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