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  Is Your Big Company, CCHIT, Proprietary EMR Safe?
Interesting Developments Posted by Ignacio H. Valdes, MD, MS on Thursday August 02, 2007 @ 09:14 PM
from the interesting-developments dept.
Think your CCHIT certified, proprietary EMR from a 'big' corporation is a safe bet? Think again. Remember Enron? From GPLmedicine.org comes news that a recently #1 ranked, CCHIT certified EMR company, AcerMed, is either severely crippled or has bit the dust. Why is this significant? Digg this article

It is significant because Electronic Medical Record software isn't like a restaurant chain. People's lives depend upon it. Many EMR software acquisition decision makers think that a proprietary EMR from a 'big' company that is CCHIT certified is 'safe' and 'isn't going to go away soon'. Many in the Free and Open Source Software licensed EMR crowd know that this is an utterly false sense of security and that the only safe bet is a non-proprietary FOSS licensed EMR. Further that it is un-ethical to do it any other way.

Despite this latest AcerMed debacle, are easily predictable (paragraph 4). Spectacular failures of proprietary EMR software that leave users totally stranded have occurred before. AcerMed and other proprietary failures have occurred often enough but few seem to think that this is odd, unusual or unacceptable. The mainstream perception continues to be that it is the other way around, that it is a gamble to use FOSS in medicine. Therefore, worthy CCHIT certified, FOSS licensed software like WorldVistA EHR/VOE 1.0, and vendors that service it and support it continue to be largely underutilized and, with important exceptions, under-funded.

This can change with advocacy by volunteers, stakeholders, organizations and vendors. All who have a genuine concern for medicine need to made their voices heard for the end of proprietary EMR software in medicine and the large scale utilization and funding of FOSS licensed EMR software. This can be as simple as volunteering to sit on EMR choosing committees, articles in publications and support through service contracts of companies and organizations that adhere to FOSS based principles.

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  • The Fine Print: The following comments are owned by whoever posted them.
    ( Reply )

    Re: Is Your Big Company, CCHIT, Proprietary EMR Safe?
    by annoyed on Thursday August 02, 2007 @ 10:57 PM
    well put. p.s. that big block of adds in the middle of the content is annoying.
    [ Reply to this ]
    CCHIT not about company viability
    by John Norris on Friday August 03, 2007 @ 12:33 PM
    Feel free to correct me if I am wrong: I thought earlier versions of CCHIT certification didn't really address the viability of the company. I understand they will/may be including more of that in later certifications. That said, I think folks may put too much into CCHIT certification, not understanding what is being certified, and what is not. One can also volunteer at CCHIT.
    [ Reply to this ]
    • Re: CCHIT not about company viability
      by Ignacio H. Valdes, MD, MS on Friday August 03, 2007 @ 12:52 PM
      That's absolutely correct and exactly the point, people think that just because something is CCHIT certified that the company is 'safe' or 'not going to go away soon'. Right now it does not protect customers from the 'black box' practice of medicine, interoperability problems, freedom of an organization to grow and extend its own nervous system beyond what the EMR corporate agenda is, non-portable training, monopolistic pricing, business failure, buyouts, lengthy delays for needed software, chronic integration problems and unverifiable security. -- IV
      [ Reply to this ]
      • Re: CCHIT not about company viability
        by Jason Murdoch on Friday August 03, 2007 @ 02:15 PM
        CCHIT is a vendor-driven organization who's goal is to sell more product for their members. It is best to think of CCHIT as a mere advertising vehicle. CCHIT will facilitate the digital medical world we all want for ourselves and each other.
        [ Reply to this ]
    • Re: CCHIT not about company viability
      by lksjt on Sunday August 05, 2007 @ 04:16 PM

      One should not volunteer at CCHIT. They are making a killing on certifications ($30,000+$$$$$ per product). They have plenty of money on their own. They don't need yours.

      In the same sense, AMA makes a killing on licensing of CPT codes. Everyone visiting this site hopes for transparent and open source solutions to thrive in the healthcare industry, yet the underlying data used in such systems is still encumbered by large corporations. HL7 is the same, charging big bucks just to see the specifications that are touted as enabling interoperability.


      [ Reply to this ]

     
    The Fine Print: The following comments are owned by whoever posted them.
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