3 ms·
As someone who has made an EMR and has used OpenEMR there are a few reasons why there hasn't been a fully implemented open source solution in this space. 1.) H
by pg_bot 9y ago
As someone who has made an EMR and has used OpenEMR there are a few reasons why there hasn't been a fully implemented open source solution in this space.
1.) Hospitals are fairly risk averse organizations. Instead of spending resources on building out a technical team and building their own solutions they usually will outsource tech to a third party (EPIC, GE, Cerner, etc). A CTO of a hospital is usually just a checkbook personified and buying IBM never got anyone fired.
2.) An EMR is not a trivial software application. A good one has an extremely large feature set with multiple specialized applications depending on the type of physician who is using it.
3.) There are compliance and regulatory hurdles which scare away a lot of people from working in the field.
4.) The players in the field have no incentive to open source their work since they make all of their money on enterprise sales contracts.
- rch 9y agoIBM Watson (and, separately, Epic) certainly helped get the former President of M.D. Anderson "fired": https://www.statnews.com/2017/03/08/md-anderson-depinho-resigns/ https://www.statnews.com/2017/03/08/md-anderson-depinho-resi... The CIO (Lynn Vogel) "departed" recently as well: http://med.stanford.edu/content/dam/sm/cancer/documents/pdfs/TCL011714.pdf http://med.stanford.edu/content/dam/sm/cancer/documents/pdfs...
- spraak 9y agoNot affiliated, but you may find Redox Engine [1] helpful if you work on any EMR integrations. [1] https://www.redoxengine.com/ https://www.redoxengine.com/
- jesdynf 9y agoPG, if you've used it before, you might glance at it again. I'm on the development team, and I've put a lot of effort into smoothing out the installation process and building HIPAA-friendly deployments. We've got one product in the Amazon Marketplace right now, with another one coming soon. https://github.com/openemr/openemr-devops https://github.com/openemr/openemr-devops