Open EMR’s Death, Collaborative Health Record, and Improving EMR

Posted on December 29, 2013 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

It seems a little ironic that an EMR vendor would write about wanting an open source EMR to die. Although, I couldn’t help but read the irony that this person chose not to be involved in the open EMR community because people weren’t getting involved in the community. A good old chicken and egg problem. Instead of contributing to the community so that it would be more vibrant, they chose to go out and develop EVERYTHING. The reality is that this person just wanted to build an EMR business. They didn’t want a real open source EMR community. There’s nothing wrong with wanting to build an EMR business, but it’s very different than contributing to a great open source EMR community and build a business.

As the author mentions, the Open EMR community isn’t going anywhere. In the hospital space, the Vista community isn’t going anywhere either. I will be interested to see how Open EMR handles MU. They did stage 1, but future stages are still a question mark from what I’ve seen. Of course, they could go radical and not worry about meaningful use. It will be interesting to see.

I’ve always loved the idea of the collaborative care record. Unfortunately, I don’t see much movement by the healthcare industry to make it a reality.

A lot of people are going to start asking this question. I believe it will be a couple years before this discussion really goes mainstream in hospitals (possibly post-MU), but it will be an important discussion. Of course, this isn’t a new discussion. It’s always a question of whether it’s best to improve the software you have or rip and replace. In the ambulatory side I predict we’re going to start seeing a lot of ripping and replacing of EHR software.