Re: Browser Based EMR's Threaten Software Freedom

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Re: Browser Based EMR's Threaten Software Freedom
by Mike White on Thursday February 12, @10:01PM

Being a VAR(Value Added Reseller) for Medical software for over 20 years, I can appreciate your opinion, but choose to disagree. Compliance like HIPPA and CCHIT work to ensure there are no "security holes" in web based applications. Additionally most of my clients 1) cant afford a full time IT person, 2) access the outside world anyway for ePrescriptions, HL7, Radiology Integration etc. Having a vendor managed application means my practice customers get the latest CPT codes, all the E&M codes etc.., all up to date. Newer EMR solutions have tailorability built into them so changing the source or accessing the source code isnt necessary. I cringe when someone says that want to change the source code to begin with. That creates a customer support nightmare! As far as open source goes, you get what you pay for. My customers can run PrognoCIS inhouse in a traditional client/server environment, or subscribe to a hosted solution. The hosted solution is professionally hosted by the same companies that host banking institution solutions, so up-time and data redundancy is critical and well provided for. Both options are tailorable. For example, a doctor who specializes let say in Urology can easily tailor the encounter script without the need of source code. My final thought on this matter is, Web Based EMR enables even the most struggling medical practices to increase revenue, patient care with the patient portal, collect medicare incentives for ePrescriptions and eliminate administration overhead. Imagine, not having to pull any charts, pay for transcriptions... That pays for the software right there.

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