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« A Bird's-Eye View on the Status of Healthcare Technology | Main | Medical Legal Aspects of Telehealth »


M Luxton

One thing not considered by most is what happens if your EMR reaches an end of life event such as buyout and you don't like the new service, goes out of business, etc. You need to also factor in "how do I get my records back out if company folds or I want to leave them, and how portable and transferable is that info?" Evan in Alberta, with the folding of the Physician Office System Program in Mar 2014 and the provincial MSA along with it, there will no longer be a requirement for even the former participants in the subsidization program to support the provincial migration (export/import) standard, returning it to the shoulders of the custodian to make sure their chosen EMR vendor has the ability to bulk export charts in a usable/migratable format, preferably with that capability in the hands of the clinic, not the vendor, as happened with Rise Perk. In cases where this was not planned for, I've seen clinics with 3-4 servers running with legacy EMRs to keep from losing data because they can't get the old data out (or can't afford to or old vendor is holding it hostage and not willing to get it out for them).

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