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Archive for December, 2009

Open Source and Free EMR Systems

December 12th, 2009

The commercial EMR systems cost physicians somewhere between $20 to $50 thousands, depending on vendor and different revenue models (subscription, lease, upfront, …)

 
That motivates some Physicians to look into alternative, free or open sources, options.
(Intentionally separating free vs. open source, as those are necessarily not the same)
 
Recently I researched available open source options that includes more than 40 products!!!
 
Among those I found the following three to be the best:
 
 
 
New Jersey’s Hoboken University Medical Center , Blue Mountain Hospital in Utah and Kern Medical Center of Bakersfield, Calif. are among organizations that have recently decided to go with Open Source EMR Systems.
 
Of course one pending question on Open Source EHR solutions is about CCHIT certifications.
 
On June 18, the Certification Commission unveiled new options for CCHIT certifications to support self-developed and open source community in an effort to better position itself as the certification agency required under the HITECH provisions of the American Recovery and Reinvestment Act (ARRA).
 
 
 
At the same time some organizations and consulting firms are taking matters in their own hands, by applying for CCHIT certificate for a "modified" or "commercialized" branch of Open Source code. WorldVista is a good example.
 
 
 

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Product Review: eClinicalWorks

December 2nd, 2009

 As part of my continuous EHR product review I recently evaluated AllScript, NextGen and eClinicalWorks. 

 
This post is covering eClinicalWorks. (See my previous post on NextGen)
 
To summarize among the three, I like eClinical the best. It is technically solid, and 
provides a fully integrated platform, including PM, EMR and Billing.
 
 
However I think the User Interfaces are not as intuitive as they could be. I hope
the product manager will put some effort in optimizing the user experience. 
That would motivate eClinical users in utilizing all the power under the hood. 
 
 
The system provides customizable templates per spatiality and provides a good 
Clinical Decision Support System (CDSS).
 
The company started with smaller physician groups before targeting hospitals 
and larger clinics. As such the product design is well suited for small offices.
 
In larger environments the community module allows patient records to 
be shared between physicians (e.g. referrals).
 
My favorite feature is eCliniForms, which allows to scan in or create office forms 
in the system (such as consent or hospital admission forms).
eCliniForms can be used to input data and integrate directly with patients’ chart.
 
Following you can see a demo of eCliniForms:
 

 
 
 
In terms of pricing eClinicalWorks has 3 offerings:
 
- Traditional client server (you purchase the software license outright and data lives on a server in your office).  The pricing is around $10,000 for the first physician, $5,000 for each subsequent provider. An annual support & maintenance license fee of 18% could apply, translating to about $200/month.
 
- Hosted model or ASP (monthly fee, data lives on a server at the vendor’s facility).  The pricing is around $500/month for the first provider, with discounts for subsequent providers.
 
- Lease or Subscription (monthly fee, data lives on your server in your office). $400/month for the first provider. It goes down around 10% per additional doc on the contract.
 
The above fees are for the combined EHR-PM product.  More details can be found on their website:
They charge an additional $250/month for billing and scheduling and $25/month for e-prescribing. Training is between $500 to $750 per day plus travel expenses at $250/day.
 
 
Here is a Flash Demo of the product:
 
 
They recently partnered with Sam Club to sell eClinical EMR, in a packaged deal along with Dell computers to cover both software and hardware. More info here: http://www.samsclub.com/health/
 
eClinicalWorks is opening an office in Pleasanton California before end of the year.
 
 

 

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