Notes From The Underground Railroad

The backstory to this remarkable discovery is amazing.  Far from the top-down bureaucracy, beltway bandits, and cozy dinners with lobbyists, that folks normally associate with Washington,  this discovery was actually a cascade of events trigger from the bottom of the organization chart.  Today, this system is known as the VA's VistA electronic health record system.  About half of the electronic medical record systems in operation in the US today use this system.

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