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OpenEMR is Accepting Donations on OpenCollective

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Re: OpenEMR is Accepting Donations on OpenCollective

#31

Post by fencepost »

aaavl2821 wrote: post #24
orb_yt wrote: post #22

Earlier quoted context omitted.

> physicians hate them, and many blame them for the massive increase in physician burnout over the last few years It's funny, I assumed the same. I then asked a few who used the product, and was surprised to hear praise for Epic. I wonder if the product has actually improved, or if users have simply conceded.

that's interesting, ive heard that epic is better than cerner and others, but most of my physician friends still dont like it out of curiousity, what kind of physicians were these, in terms of specialty as well as employment status (hospital employed, hospital affiliated, part of med group, independent)? most of the physician surveys ive seen express negative views about EMRs, but a sizable portion of physicians say…

I'm hoping to get feedback on Epic in the next few months, as we lose a long-term client that's being purchased by a LARGE medical group running Epic. Our client has been on eClinicalWorks for something like 10 years at this point, so I think there's going to be some whiplash of change in about 6 weeks.

I'll probably be keeping at least somewhat in touch with them, so in a couple months perhaps I'll have some basis for comparison.

Re: OpenEMR is Accepting Donations on OpenCollective

#32

Post by fraidy_cat »

jesdynf wrote: post #27
aaavl2821 wrote: post #26

Earlier quoted context omitted.

i agree it sounds like a great tool, and epic and cerner leave huge unmet needs in terms of productivity and also cost. seems like marketing is the huge challenge id imagine this is really for independent physicians at least in the most-near term, as the sales cycle at big hospitals is brutal, and youd have epic / cerner folks scaring the hospital admins about real / imagined security concerns. but marketing to indep…

I wrote a reference implementation of OpenEMR, the "OpenEMR Full Stack", that's taking aim at facility-grade loads. It's deployed from Amazon CloudFormation, and the highlights include multi-AZ redundancy, an Elastic Beanstalk deployment fronted with a load balancer running parallel OpenEMR instances in multiple AZs, an internal Route53 domain protected with SSL between nodes, redundant document stores for patient re…

wow, very nice

Re: OpenEMR is Accepting Donations on OpenCollective

#33

Post by fraidy_cat »

brady_m wrote: post #20
danjoc wrote: post #17

Earlier quoted context omitted.

In the US, wouldn't they need to do a Meaningful Use attestation? http://www.healthcareitnews.com/news/ehr-vendor-marketshare-... It seems like a solid number for those should be available somewhere.

Thanks for pointing that out(I learn something new every day). I looked into this and attestations are published here: https://dashboard.healthit.gov/datadashboard/documentation/e... On a quick scan (the spreadsheet file was 300MB and it looks like I wasn't able to load everything on my computer at work), there are at least 300+ OEMR attestations (this is the non-profit organization that represents OpenEMR for MU cer…

sounds like a job for big data analytics

Re: OpenEMR is Accepting Donations on OpenCollective

#34

Post by brady_m »

aaavl2821 wrote: post #30
brady_m wrote: post #29

Earlier quoted context omitted.

Yep, marketing is a real issue, since that can take up extensive resources (I am just guessing that the proprietary EMRs sink 20% or more of their resources into marketing). Especially since US based physicians are trained that more money means better things. As you can imagine the skepticism that then results when discussing a free EMR. Prior to a year or so ago, OpenEMR really relied on the professional support (th…

Thanks for the info, I'll look into the project. I really believe EMRs need to work better for docs and be more open. I know a few physician-programmers who've built their own web apps but EMR integration obviously sucks. If they can build on top of something open source and a small medical group can save money without losing functionality with an open source solution, that could garner enough donations / financial s…

I'm also a hobbyist programmer with a physician day job. Volunteering for OpenEMR has been and continues to be an awesome experience. If you or your colleagues are ever interested, always feel free to contact me at brady.g.miller (at) gmail (dot) com if you have any questions or use the forums at https://community.open-emr.org/ . Note that all of us are learning at all times, and the project welcomes all skill levels.

Re: OpenEMR is Accepting Donations on OpenCollective

#35

Post by toomuchtodo »

jesdynf wrote: post #27
aaavl2821 wrote: post #26

Earlier quoted context omitted.

i agree it sounds like a great tool, and epic and cerner leave huge unmet needs in terms of productivity and also cost. seems like marketing is the huge challenge id imagine this is really for independent physicians at least in the most-near term, as the sales cycle at big hospitals is brutal, and youd have epic / cerner folks scaring the hospital admins about real / imagined security concerns. but marketing to indep…

I wrote a reference implementation of OpenEMR, the "OpenEMR Full Stack", that's taking aim at facility-grade loads. It's deployed from Amazon CloudFormation, and the highlights include multi-AZ redundancy, an Elastic Beanstalk deployment fronted with a load balancer running parallel OpenEMR instances in multiple AZs, an internal Route53 domain protected with SSL between nodes, redundant document stores for patient re…

I just spoke with someone today who argued that HIPAA requires TLS termination on an instance, not the ELB. Can’t confirm or deny, as I’m in financial services, thought I’d mention it for those under such compliance/regulations.

Re: OpenEMR is Accepting Donations on OpenCollective

#37

Post by exception_e »

toomuchtodo wrote: post #36

Have you considered partnering with Watsi.org to provide EMR functionality for their third world universal healthcare project? http://blog.watsi.org/watsi-coverage/

Great idea!

I'm going to show this to a few of the folks on our non-profit board. From first glance, it looks like a great fit.

Thanks, Matthew

Re: OpenEMR is Accepting Donations on OpenCollective

#38

Post by jesdynf »

toomuchtodo wrote: post #35
jesdynf wrote: post #27

Earlier quoted context omitted.

I wrote a reference implementation of OpenEMR, the "OpenEMR Full Stack", that's taking aim at facility-grade loads. It's deployed from Amazon CloudFormation, and the highlights include multi-AZ redundancy, an Elastic Beanstalk deployment fronted with a load balancer running parallel OpenEMR instances in multiple AZs, an internal Route53 domain protected with SSL between nodes, redundant document stores for patient re…

I just spoke with someone today who argued that HIPAA requires TLS termination on an instance, not the ELB. Can’t confirm or deny, as I’m in financial services, thought I’d mention it for those under such compliance/regulations.

Yeah, you won't believe the work I had to put in over it. As part of the stack creation process, I have to create a backend CA and hand certificates out to a bunch of services, and then make other services use 'em. Getting Elastic Beanstalk to use an arbitrary certificate for the backhaul is both possible and documented, but not as well I would've liked.

Re: OpenEMR is Accepting Donations on OpenCollective

#39

Post by jesdynf »

fraidy_cat wrote: post #32
jesdynf wrote: post #27

Earlier quoted context omitted.

I wrote a reference implementation of OpenEMR, the "OpenEMR Full Stack", that's taking aim at facility-grade loads. It's deployed from Amazon CloudFormation, and the highlights include multi-AZ redundancy, an Elastic Beanstalk deployment fronted with a load balancer running parallel OpenEMR instances in multiple AZs, an internal Route53 domain protected with SSL between nodes, redundant document stores for patient re…

wow, very nice

Thanks!

Re: OpenEMR is Accepting Donations on OpenCollective

#40

Post by toomuchtodo »

exception_e wrote: post #37
toomuchtodo wrote: post #36

Have you considered partnering with Watsi.org to provide EMR functionality for their third world universal healthcare project? http://blog.watsi.org/watsi-coverage/

Great idea! I'm going to show this to a few of the folks on our non-profit board. From first glance, it looks like a great fit. Thanks, Matthew

Spectacular! Please let me know if I can be of any assistance. Not related to Watsi, but happy to do whatever legwork is required. Passionate about effective, efficient healthcare delivery.
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