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GNU Health

gnuhealth.org

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Re: GNU Health

#61

Post by epcoa »

leakycap wrote: post #54
doctorpangloss wrote: post #46

Earlier quoted context omitted.

No… hospitals use EHR to maximize billing. That is the value. Private practices are generally shrinking in number, so there IS NO EHR that is growing in the long term to serve them, so there CANNOT BE a trend where hospitals are exceptional, their IT buying trends are the NORM and their purpose is to code for billing. It is NOT about having or not having IT resources strictly speaking.

Typing in ALL CAPS does not make your argument stronger, this isn't Truth Social. > hospitals use EHR to maximize billing As a person who has worked extensively with hospitals and CHCs helping them integrate technology, this is false. EHR is being used because it's required - both by payors and regulation/law. I can think of zero instances where an organization switched to EHR without being forced by a deadline from…

I dunno, QuadraMed that was used by at least NYC H&H for years before their imperiled transition to Epic prominently displayed “Revenue Cycle Management” on the splash screen of its decrepit provider facing frontend.

Both of you are overstating your cases. That said, it’s hard to overstate how heavily charge capture and billing are prioritized to the detriment of other aspects.

> I can think of zero instances where an organization switched to EHR without being forced by a deadline from an outside source.

There were major EHR deployments in the 80s through early 00s, before most government mandates. Surely later mandates were an incentive This reflects a lack of tenure.

Re: GNU Health

#62

Post by ranger_danger »

leakycap wrote: post #2

Heath centers pay unreal amounts of money for these kinds of commercial products, but in my experience the health centers themselves have very few technical resources. So the real "value" being delivered by the commercial software providers is often the setup, support, and hand-holding provided to customers who pay the crazy amounts. I imagine there will be a niche but high-paid market integrating these GNUHealth pro…

From what I have seen, the only people seriously using systems like these are in emerging markets or developing countries.

Re: GNU Health

#63

Post by ranger_danger »

pstuart wrote: post #7
leakycap wrote: post #2

Heath centers pay unreal amounts of money for these kinds of commercial products, but in my experience the health centers themselves have very few technical resources. So the real "value" being delivered by the commercial software providers is often the setup, support, and hand-holding provided to customers who pay the crazy amounts. I imagine there will be a niche but high-paid market integrating these GNUHealth pro…

Seems like a wonderful win/win opportunity to have the software be FOSS but enable small businesses to provide hosting/support/customization. The biggest win of all is if we had an open/extensible/maintainable data exchange format so that we could eliminate the need for paperwork. How many times must we fill out the same information, and then require the providers to keyboard it in?

https://xkcd.com/927

Re: GNU Health

#64

Post by throwaway173738 »

gjsman-1000 wrote: post #4
leakycap wrote: post #2

Heath centers pay unreal amounts of money for these kinds of commercial products, but in my experience the health centers themselves have very few technical resources. So the real "value" being delivered by the commercial software providers is often the setup, support, and hand-holding provided to customers who pay the crazy amounts. I imagine there will be a niche but high-paid market integrating these GNUHealth pro…

The problem open-source, and social media, and everything digital, has never overcome is accountability . Who do I sue, and who has insurance, if something goes wrong? Combine that with most small businesses having more money than time (just pay Gmail, don’t spend the required amount of time to self host), and open-source is stuck at being hobbyists if there is no corporate sponsorship.

You sue the developers. It’s how it works in general. So basically you’d comb the commit history for the project and name everyone in the lawsuit that you could.

Re: GNU Health

#65

Post by mattkrause »

cyberax wrote: post #56
marcusb wrote: post #44

Earlier quoted context omitted.

In the US, the Veteran's Administration wrote their own EHR (Vista) which was released as public domain. They've been trying (and mostly failing) to migrate to a commercial EHR for the last seven or eight years.

Vista is ancient, and it's written in MUMPS, an evil twin of COBOL.

For context, many (most?) other EHRs are too, though they call it M now so it sounds less disease-ridden.

Re: GNU Health

#66

Post by rancar2 »

unleaded wrote: post #30

There was a guy on reddit a few years ago who started a dental practice with entirely open-source software and his own EHR system. Really interesting stuff, don't think anyone's posted about it here. Can't view his reddit history but he must still be using it, last commit 1 week ago. https://www.reddit.com/r/linux/comments/p5phju/progress_repo... https://www.reddit.com/r/linux/comments/x2mls1/update_starti...

That’s from the founder of Clear.dental, Dr. Tej Shah:

https://clear.dental/

https://gitlab.com/cleardental

https://www.linkedin.com/in/tej-shah-17829195

Re: GNU Health

#67

Post by kaladin-jasnah »

perching_aix wrote: post #43
eterm wrote: post #37

Earlier quoted context omitted.

It means you can't view people's reddit profiles in the UK. ( Yes, seriously. ) Many many profiles are tagged NSFW, its' not clear why, I can't imagine the majority of those have done so deliberately, perhaps it's automatic for anyone who's posted any NSFW posts ever. ( Which includes people doing so to be funny such as someone posting a huge loss in a sports sub as NSFW. )

Recently Reddit also made it possible to private your post and comment history, which I found a surprising number of people already do too (default for new accounts maybe?), so this is about to become a very worldwide experience anyhow :)

I've been seeing a lot of profiles have their post history invisible, and thought it was a bug. I tried to search for whether or not this was possible and couldn't find it. I'm elated to hear that this is a thing, as it protects my privacy. Just enabled it (:

Only thing, shame you can only set these things in new Reddit.

Re: GNU Health

#68

Post by BeetleB »

cseleborg wrote: post #22

> The easiest way to get MyGNUHealth is by installing the package from your favorite operating system / distribution. Many operating system distributions already ship MyGNUHealth. I was actually curious to try this out on my phone, since they claim to support mobile devices. If running a command-line package manager is the easiest way to install this on Android, I don't want to know what harder ways exist. I find thi…

> I guess it's because of the need to have some sort of entity be present in the various App Stores?

This, and the fees, and dealing with weird App stores' rules. On Android, we had F-Droid - an alternative store where one didn't need to deal with this. And as has been reported recently, Google is making changes that will essentially kill F-Droid.

The reason there's not much good open source stuff on phones compared to PCs is because the hardware is hostile to it. The few phones out there that aren't are the ones almost no one uses.

Re: GNU Health

#69

Post by vincent-manis »

cyberax wrote: post #56
marcusb wrote: post #44

Earlier quoted context omitted.

In the US, the Veteran's Administration wrote their own EHR (Vista) which was released as public domain. They've been trying (and mostly failing) to migrate to a commercial EHR for the last seven or eight years.

Vista is ancient, and it's written in MUMPS, an evil twin of COBOL.

No, MUMPS (or M) is a remote descendant of JOSS, an interactive language of the 1950s. JOSS has all sorts of variants (DEC's FOCAL language of the 1960s was a dialect), but I think MUMPS is the only living one. MUMPS code is mostly unreadable, as the commands can be, and often are, abbreviated to the first letter. As a result, it looks a lot like line noise.

Regardless of its many warts, Cobol cannot be accused of being unreadable. Verbose, yes.

Re: GNU Health

#70

Post by moaningjolie »

rancar2 wrote: post #66
unleaded wrote: post #30

There was a guy on reddit a few years ago who started a dental practice with entirely open-source software and his own EHR system. Really interesting stuff, don't think anyone's posted about it here. Can't view his reddit history but he must still be using it, last commit 1 week ago. https://www.reddit.com/r/linux/comments/p5phju/progress_repo... https://www.reddit.com/r/linux/comments/x2mls1/update_starti...

That’s from the founder of Clear.dental, Dr. Tej Shah: https://clear.dental/ https://gitlab.com/cleardental https://www.linkedin.com/in/tej-shah-17829195

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