Tim, I agree with your summation here. Those are pretty precisely the economics for the build of what is required. Outstanding components, of course, are Patient, Product and Provider identifiers so that the business models can be evolved. Perhaps we could start with a philanthropic health fund and we will use their identifiers to make a start for the Patient, and their identifiers for Providers, and we will just make a decision about Product identifiers from preliminary guidelines coming out of NEHTA.... and bingo all we then need is a sustainable business model based around an annual contribution from consumers (possibly) for the benefits they will derive. Regards John Johnston
-----Original Message-----
From: [EMAIL PROTECTED] on behalf of Tim Churches
Sent: Tue 4/3/2007 7:01 AM
To: General Practice Computing Group Talk
Cc:
Subject: [GPCG_TALK] Ultimate EMR
Well, that's its name. It is a new, open source, Web-based EMR for the
US market, based on Zope and Plone, which are intriguing but probably
quite sound choices for infrastructure (uses an object database, not a
relational database - makes much sense for clinical data). See
http://www.uemr.com/index.html
Probably not usable as-is in the Oz setting, but yet another
demonstration that it *is* possible to create viable open source
clinical apps with very modest investment. They mention "four years of
effort", probably by one to three people - thus around 10 person-years
of effort. That's around $1.5-2.0 million of investment. Would be money
well spent by a govt agency or even a private philanthropic concern in
the Australian setting (or even sponsorship by a private health
insurance company - what better way to promote yourself but to have
posters in GPs' waiting rooms say "the computer software used by this
practice is proudly sponsored by...". No need to wait 4 years: half a
dozen smart people could do it in 12-18 months, with increasingly
polished prototypes to show off and get active feedback at monthly
intervals along the way. That's what Australian patients and health
professionals deserve.
Tim C
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John Johnston
Pen Computer Systems Pty Ltd
Level 6, The Barrington
10-14 Smith Street
Parramatta NSW 2150
Ph: (02) 9635 8955
Fax: (02) 9635 8966
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