i tried for 3 years to create an emr. we had some success (its being used in the real world) but not enough to be sustainable against the monoliths like epic m

i tried for 3 years to create an emr. we had some success (its being used in the real world) but not enough to be sustainable against the monoliths like epic my 0.02 on why they arw so bad: 1. the number one goal of emr software is not quality of care. its not user experience. its suppprt and integration for billing. ie, they are accounting systems 2. this partly follows from the fact that emrs are not purchased and implemented by the same people who actually use them. a government mandate and high level health execs make the decision and their priority is the bottom line, in terms of $$$. 3. its not an encouraging field to get into. there is lot of regulation and standards to deal with and not much money to go around to pay for it